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If it were me, I would throw it away and wait for a subpoena signed by a judge ,find the judge's name in the directory or 411,call their office to see if the Judge really signed that document. Believe it or not, LE has broke their own laws before.
It never ceases to amaze me how our powers that be attempt to intimidate based on their often misbelief,the general public is uneducated about such matters. I would strike this up at an attempt to intimidate.I wouldnt fall for it.They more than likely sent this same letter to every patient they found in the Docs file.
You can always contact a local Attorney and ask their advice,but by what you have posted,it doesn't sound worth the call. Just my opinion what I would do.
J.
-------------------- I can't see me lovin nobody but you,for all my life