The notice shall be served simultaneously upon all such parties. If the bill of particulars, papers served pursuant to CPLR 3045, and information required by CPLR 3101(d)(1)(i) are not available, but later become available, they shall be filed with the court simultaneously when served on other parties. The notice shall be in substantially the following form:
Notice of Medical, Dental or Podiatric Malpractice Action
Malpractice
Calendar No.
______________
Reserved for Clerk's use
Index No. ____________
Name of Assigned Judge ____________
SUPREME COURT
____________ County
____________
______________
Plaintiff(s)
vs.
______________
Defendant(s)
____________
Please take notice that the above action for medical, dental or podiatric malpractice was commenced by service of summons on ________, that issue was joined therein on ________, and that the action has not been dismissed, settled or otherwise terminated.
________ medical malpractice
________ dental malpractice
________ podiatric malpractice
or demand has not been made for such authorizations. ________
are attached. ________
election of arbitration or concession of liability is attached ________
or demand has not been made for arbitration. ________
3101(d)(1)(i) is attached ________
or a request for such information has not been made ________
or such information is not available. ________
____________
(PRINT NAME)
Attorney for Plaintiff
Address
Telephone number
Dated:
Instructions:
N.Y. Comp. Codes R. & Regs. Tit. 22 § 202.56