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FOIA or subpoena for a county sheriff's department?

Neither A Subpoena requires that you have a lawsuit against some party, that the material you request from the other or a third party is material, and that material is not protected or privileged. …
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Can medical records ever be subpoenaed or discovered in any judicial context?

Generally, both records are subpoena-able to the degree relevant and necessary, and indeed the opposing medical opinions on the operation and records form the very basis of the case for either side. … Oftentimes, the investigators also subpoena the medical records of the victim from their doctors to corroborate the autopsy record, while the defense might subpoena them to try and disprove it. …
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