Utah Administrative Code (Current through November 1, 2019) |
R156. Commerce, Occupational and Professional Licensing |
R156-78B. Prelitigation Panel Review Rule |
R156-78B-16c. Affidavits of Merit - Affidavit of Health Care Provider or Providers
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(1) Each affidavit of merit signed by a health care provider as required by Subsections 78B-3-423(1) and (2)(b) shall include the following text immediately prior to the affiant's signature:
TABLE VI
I hereby certify that I am an appropriate health care provider
qualified to render an affidavit of merit in this medical
malpractice case as specified by Utah Code Subsection 78B-3-423(4).
My license class and professional specialty are: (describe).
I further certify that I have reviewed the medical records and
other relevant material involved in this medical malpractice case
and have determined that:
(1) In my opinion, there are reasonable grounds to believe
that the applicable standard of care was breached by the following
respondent(s): (identify by name each respondent included in the
affidavit).
(2) In my opinion, the breach was a proximate cause of the
injury claimed in the notice of intent to commence action.
(3) The specific reasons for my opinion are (explanation for
each respondent named in the affidavit).
(2) As provided by Subsection 78B-3-423(3), the statement that there are reasonable grounds to believe that the applicable standard of care was breached shall be waived if the claimant received an opinion that there was a breach of the applicable standard of care under Subsection 78B-3-418(2)(a)(i).