EFTA00468872.pdf

From: Lesley Groff To: Jefffrey Epstein cti Subject: Fwd: Columbia Doctors Orthopedics Appointment Confirmation Date: Fri, 02 Feb 2018 21:18:03 +0000 Attachments: RAL_New_Patient_Intake_Form_(Adult).pdf Inline-Images: image003.jpg; image004.jpg; image005.jpg; image007.jpg; image011.png Begin forwarded message: From: Ortho ApptSchd Subject: Columbia Doctors Orthopedics Appointment Confirmation Date: February 2, 2018 at 4:16:53 PM EST To: " 2/2/2018 Dear JEFFREY EPSTEIN, Thank you for choosing Columbia Orthopedics. Details regarding your appointment are below: YOUR APPOINTMENT APPOINTMENT DATE Monday, February 12, 2018 APPOINTMENT TIME 9:15AM 'Radiology check-in is located on the Floor • X-RAY ARRIVAL TIME (IF Please check-in 60 minutes prior to your INSTRUCTED) scheduled appointment The Spine Hospital NewYork-Presbyterian/Allen LOCATION 5141 Broadway @ West 220th Street 3 Field West; New York, NY 10034 PARKING Valet parking is available at main entrance MAP EFTA00468872 cti In order to ensure that your experience goes as smoothly and efficiently as possible, please review the information below: WHAT YOU SHOULD BRING WITH YOU Please contact your insurance carrier to Referrals see if a referral is required for your visit. If you had imaging done at an outside X-Rays, MRIs or CT scans facility, please bring the CD-ROM and from outside facilities imaging report to your visit. Please bring copies of any operative Prior surgical reports reports from prior surgeries. Please complete the attached packet of REQUIRED forms and bring them to Necessary forms your appointment. Failure to bring completed forms may delay your check- in and appointment time. Please bring your insurance card with you Insurance Card the day of your scheduled appointment WHAT TO EXPECT -- 1M Please be prepared to pay all required co-pays and/or time of service Payments/Co-Pays payments on the day of your appointment. We accept cash, check, and all major credit cards. EFTA00468873  You should plan to be at our office for How much time will it take? approximately 2 hours. Subsequent visits should take less time. Please do not hesitate to call my office at 212-932-5100 with any questions you might have. I look forward to seeing you for your initial evaluation. EFTA00468874