Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-3_04-cv-02530/USCOURTS-cand-3_04-cv-02530-0/pdf.json

Nature of Suit Code: 442
Nature of Suit: Civil Rights Employment
Cause of Action: 28:1331 Fed. Question: Employment Discrimination

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STIPULATION TO RELEASE PLAINTIFF’S MEDICAL RECORDS

CASE NO. C04-02530 SI

BETH W. MORA, ESQ. BAR NO: 208859

LAW OFFICES OF LUCIUS A. COOPER

A Professional Corporation

18 Crow Canyon Court, Suite 145 

San Ramon, California 94583

Telephone: (925) 820-8949 

Facsimile: (925) 820-0278

Attorneys for Plaintiff YVONNE COX

H. ANN LIROFF, ESQ., BAR NO.: 113180

PETER W. DANIEL, ESQ., BAR NO.: 179107

HANNIG LAW FIRM

2991 El Camino Real

Redwood City, California 94061

Telephone: (650) 482-3040 

Facsimile: (650) 482-2820

Attorneys for Defendant CALIFORNIA SECURITY ALARMS, INC.

UNITED STATES DISTRICT COURT

 NORTHERN DISTRICT OF CALIFORNIA

YVONNE COX,

Plaintiff,

vs.

CALIFORNIA SECURITY ALARMS, INC.,

Defendants.

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NO. C04-02530 SI

STIPULATION TO RELEASE

PLAINTIFF’S MEDICAL RECORDS;

[PROPOSED] ORDER

The parties to the above-entitled action jointly submit this Stipulation to Release Medical Records

of Plaintiff YVONNE COX in this matter. 

Plaintiff YVONNE COX was treated by Sarah Ashbrook, Community Counseling Center,

California State University, East Bay (formerly, California State University, Hayward) located at 22580

Carlos Bee Boulevard, Hayward, California 94542-3076, Telephone: (510) 885-3007.

RECORDS TO BE RELEASED

1. Any and all Intake Report(s), Progress Notes; Discharge Summary; Verification of Counseling

Services; Diagnosis, Modulations, Result of Clinical Testing and Diagnostic Summary, as well as any

records which speak to the frequency of treatment furnished.

Case 3:04-cv-02530-SI Document 27 Filed 06/07/2005 Page 1 of 2 Case 3:04-cv-02530-JCS Document 28 Filed 06/14/05 Page 1 of 2
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STIPULATION TO RELEASE PLAINTIFF’S MEDICAL RECORDS

CASE NO. C04-02530 SI 2

Said records shall be released to Plaintiff YVONNE COX’s legal counsel, Beth W. Mora, Esq. at

the Law Offices of Lucius A. Cooper, 18 Crow Canyon Court, Suite 145, San Ramon, California, 94583

within fifteen (15) days of the date the Stipulation and Order is executed by the Court. Plaintiff’s counsel

shall have fifteen (15) days thereafter to provide Defendant CALIFORNIA SECURITY ALARMS,

INC.’s counsel of record in this matter with a full and complete copy of the records produced.

SIGNATURE OF COUNSEL 

DATED: June 6, 2005 By: ___/s/________________________________

BETH W. MORA, ESQ.

LAW OFFICES OF LUCIUS A. COOPER

Attorneys for Plaintiff

DATED: June 6, 2005 By: _/s/_________________________________

H. ANN LIROFF, ESQ.

HANNIG LAW FIRM

Attorneys for Defendant

CALIFORNIA SECURITY ALARMS, INC.

[PROPOSED] ORDER

IT IS SO ORDERED.

DATED: By: __________________________________

UNITED STATES DISTRICT JUDGE

Case 3:04-cv-02530-SI Document 27 Filed 06/07/2005 Page 2 of 2 Case 3:04-cv-02530-JCS Document 28 Filed 06/14/05 Page 2 of 2