TO:	DR. DAVID A. SMITH, M.D.
NORTHWEST CANCER SPECIALISTS - VANCOUVER 
210 SE 136TH AVE.
VANCOUVER, WA 98684 
	
CC:	MICHAEL E. ROLOFF
11004 SW 37TH AVE
PORTLAND, OREGON
AND
TO WHOM IT MAY CONCERN	
DATE:	MARCH 14, 2003	
FROM:	DAVID S. VAN BEEK
nee GENE E. ROLOFF
c/o 11004 SW 37TH AVE
PORTLAND, OREGON	
RE:	ELVINA M. ROLOFF CERTIFICATE OF DEATH	
Dear Dr. Smith,
I am the biological son of ELVINA M. ROLOFF.
On February 12, 2001 you signed the CERTIFICATE OF DEATH related to ELVINA M. ROLOFF.
During the months of January and February 2001 you were the primary physician for ELVINA M. ROLOFF while she was in the hospital.
On February 2, 2003 you signed the discharge order for ELVINA M. ROLOFF. 
On April 13, 2001 I sent you a letter regarding ELVINA M. ROLOFF. I did not receive a response from you.
Subsequently I received the medical records of ELVINA M. ROLOFF, and after reviewing them I have additional questions.
•	In the determination of the cause of death of ELVINA M. ROLOFF, did you have any data regarding the level of medications that were being administered to her while she was under the hospice care of HOSPICE SOUTHWEST?
•	Were blood samples and/or tissue samples taken from the body of ELVINA M. ROLOFF after she died?
•	Did you issue any orders for changes in medication for ELVINA M. ROLOFF after she was discharged from the hospital?
•	It is my understanding that you gave to MARIE CHEATHAM a written statement regarding ELVINA M. ROLOFF’s mental competence. If this is true, please add that document or a summary of your recollection of that event to the medical records of ELVINA M. ROLOFF.
Your prompt reply will be appreciated.
Thank you for your courtesies and cooperation.
A copy or facsimile of this document shall be as effective as the original.
Sincerely,
 
DS VAN BEEK