STATE OF NEW YORKSUPREME COURT COUNTY OF [Insert County]__________________________________________[INSERT PLAINTIFF]Plaint...
10 Certified Certificate of Live Birth of the Infant11Certified Bills of Neonatal Medical Center for the infant[Insert Dat...
[Address][Telephone Number]
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Pi022-Plaintiffs Forms

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J John Sebastian Attorney

Published in: Health & Medicine
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Pi022-Plaintiffs Forms

  1. 1. STATE OF NEW YORKSUPREME COURT COUNTY OF [Insert County]__________________________________________[INSERT PLAINTIFF]PlaintiffIndex No: [INSERT]vs. RJI No: [INESRT]Hon. [INSERT][INSERT DEFENDANT]Defendant__________________________________________PLAINTIFFS’ PARTIAL EXHIBIT LIST AS OF [INSERT DATE]Plaintiffs’ExhibitsExhibit DescriptionInEvidenceDateentered1 Labor and Delivery Records2 Fetal Heart Monitoring Strips3 Birth Records4 Infant x-rays5Certified Neonatal Medical Center Hospital Chart forthe infant6Infant x-rays of the infant at the Neonatal MedicalCenter from [Insert Date] to [Insert Date]7CT Scans of the infant at the Neonatal Medical Centerdated [Insert Date]8CT Scans of the infant at Neonatal Medical Center dated[Insert Date]9MRIs of the infant taken on [Insert Date] in the state of[Insert Name of State] ([Insert #] films)
  2. 2. 10 Certified Certificate of Live Birth of the Infant11Certified Bills of Neonatal Medical Center for the infant[Insert Date] to [Insert Date]12 (a)Defendant hospital protocol -- Use of gel prior toinduction12(b) Additional protocol -- Care of the intrapartum patient12(c)Additional protocol --Induction and Augmentation ofLabor with Oxytocin12(d) Additional protocol -- Determination of Fetal Heart Rate12(e)Additional protocol -- Continuous Fetal Heart RateMonitoring12(f)Additional protocol -- Immediate Care of the Newbornin Labor and Delivery12(g)Additional protocol -- Admission of the newborn to theNursery12(h)Additional protocol -- Maternal Fetal, NeonatalTransfers to a Regional Center13 Hospital Labor and Delivery Log14 Demonstrative Art15 Demonstrative Art16 Exemplar infant in utero17 Demonstrative Art18Scanned copies of hospital exhibits admitted fordemonstrative purposesDated: [INSERT DATE]______________________________[Name of Attorney][Name of Law Firm]Attorneys for Plaintiffs
  3. 3. [Address][Telephone Number]

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