Giuffre_Maxwell_Batch2_p00223.png

10 11 13 17 18 19 20 2d 22 23 24 25 Case 1:15-cv-07433-LAP Document 1325-12 Filed 01/04/24 Page 12 of 15 Agren Blando Court Reporting & Video, Inc. A Generally it's demographics information and then a list of medications, a list of surgeries, a list of family medical history, and then a list of physical complaints that there's some -- it's called review of systems, things someone has been feeling and self-reported in the last two weeks. Q Okay. So is this typically -- is this patient information document typically in the patient's handwriting? A Yes. Q And I presume you don't know Ms. Giuffre's handwriting? A No. Q But it's a practice to ask the patient to fill these forms out? A Yes, and then have it there before their appointment. Q All right. So if I see the date reflected on the top of the first page as May 21st, 2015 -- A Um-hum. Q -- do you believe that to be the date that you actually saw Ms. Giuffre? A Probably, yes. Q Okay. A Sometimes people will bring it in early, STEVEN W OLSON 5/26/2016 42