EFTA00488537.pdf

From: Lesley Groff < To: Jennifer Rodriguez -4 Subject: Re: Dr. Kline's Office Date: Fri, 11 Jan 2019 18:46:26 +0000 Attachments: Scan_488.pdf; Scan_487.pdf; Scan_486.pdf; Scan_485.pdf; Scan_484.pdf; Scan_483.pdf; Scan_482.pdf HI Jennifer and thank you for getting me the paper work. I plan to hand this to Jeffrey before he bolts out the door, but just in case, I am sending this to you as well! I've included a copy of his Insurance Card. He still needs to sign and fill out the personal questions...I have done as much as I can for him now! Lesley On Jan 11, 2019, at 1:05 PM, Jennifer Rodriguez < > wrote: Hi Lesley. Please see attached and if you have a copy of his insurance card I need a copy of that also. Thank You. Jennifer Rodriguez Mitchell A. Kline, M.D.,P.C. Dermatologic and Cosmetic Surgery 700 Park Avenue I New York, NY 10021 <PatientHistory-NEW-Jan2018.pdf><DR KLINE REGISTRATION NEW 2013.pdf> EFTA00488537