Question

when does the release of a medical record become legal? *
once it is notarized
with the doctors signature
with the patients signature
one the insurance company is notified

what is bargaining?
when a patient is no longer able to deny death
palliative care
patients realize that death is coming
when patients accept death but want more time to live

Explanation:

For the first question: Medical records are private. The patient's signature is required for legal release as it's their right to consent. Notarization isn't a standard requirement for release. The doctor's signature alone doesn't give legal right to release (it's the patient's record). Notifying the insurance company doesn't make the release legal - consent is key.
For the second question: Bargaining in the context of death and dying (as per Kubler - Ross' stages) is when a patient, who has accepted death is coming (but not in denial), tries to negotiate for more time (e.g., "If I do X, can I live longer?"). Palliative care is a type of care (not bargaining). Realizing death is coming is part of the process but not specifically bargaining.

Answer:

First question: With the patient’s signature.
Second question: when patients accept death but want more time to live.