This law requires the plaintiff to submit evidence that they have enough reason to file a medical malpractice claim.
The evidence may be in the form of an affidavit stating that the plaintiff or their attorney has collaborated with an expert to review the facts of the case and concluded that there's enough reason to file a medical malpractice lawsuit.
Suppose the plaintiff could not obtain such a declaration. In that case, they must file a declaration stating that they or their attorney could not consult an expert before the expiration of the filing deadline. If approved, the plaintiff will be awarded 60 more days to file the Certificate of Merit.
The third option is a declaration that the plaintiff or their attorney could not obtain an expert consultation after three different attempts and with three different experts.
Lastly, it could be an affidavit stating that there will be no need for expert testimony to prove medical malpractice.