EFTA00482771.pdf

From: Lesley Groff <1 To: Jefffrey Epstein < Subject: Fwd: Medicare ABN Date: Thu, 04 Oct 2018 13:49:38 +0000 Attachments: 10-3-18_MEDICARE_ABN_Form.pdf Please look at form. We need to select an option. I don't know what box you would like to check! ?? Sent from my iPhone Begin forwarded message: From: lisa Date: October 3, 2018 at 4:51:01 I'M EDT To: Lesley Groff < Cc: Admin Assistant < Subject: Medicare ABN Dear Lesley, Please see attached Medicare ABN form for Mr. Epstein to complete, sign and return to us. This is for Medicare coverage of lab work. Thank you. Have a nice day! Sincerely, Lisa Perez Clinical Coordinator to Dr. Woodson Merrell 44 East 67th Street, Suite 1B New York. NY 10065 EFTA00482771