EFTA00322294.pdf

From: "Antonucci, Amanda" To:' Subject: Office of Dr. Ash Tewari Date: Tue, 19 Jul 2016 13:35:00 +0000 Attachments: Registration_Forms_2016.pdf Hello Lesley, Mr. Epstein is scheduled for Monday, July 25th at 2:15pm. Our address is 625 Madison Avenue, 2" floor between 58th and 59th street. Please kindly have the attached forms completed and returned to me via email or fax in advance of the appointment. Please let me know if you have any questions. Best, Amanda Amanda Antonucci, RN Office of Ash Tewari, MBBS, N1Ch Chairman, Department of Urology Professor of Urology Icahn School of Medicine at Mount Sinai Clinical Office 625 Madison Avenue, 2I'd Floor New York, NY 10019 Telephone: F: CONFIDENTIALITY NOTICE: This e-mail/fax and its attachments may contain PRIVILEGED and CONFIDENTIAL INFORMATION and/or PROTECTED PATIENTHEALTH INFORMATION intended solelyfor the use ofMount Sinai Medical Center and the recipient(s) named above. If you are not the intended recipient, or the employee or agent responsiblefor delivering this message to the intended recipient, you are hereby notified that any review, dissemination, distribution, printing, or copying ofthis e-mail message and/or any attachments is strictly prohibited. Ifpeu have received this transmission in error, please notify thethesender immediately andpermanently delete this e-mail(shred the document] andany attachments. EFTA00322294