Epstein Secrets

Exp. Dale: Exp. Date: Exp. Date: Exp.. Date: Exp. Date: nrilartiletriailiTtheiii3Oataiiiiiii:Ilii ,77:; .- • Start Date End Date 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. !fla;:a-)ciaetaitat7 - Cleared for Food Service: Yes • No Restrictions Comments: N/A MD 07/3

Abnormal Pigmentation: No Abnormal Les Ions/Growths: No Comments: Lymphatics: Adenopathy: No Comments: Potential Items For Follow-up: 10101 Travel Outside US Other Infectious Disease History Rectum Not Done Male Genitalia Not Done PPD Admintstradon Not Performed Comments: Patient has a history of

her: Exp. Date: ------ May have the following equipment in his / her possession: Equipment Start D.:\te End Date Return Date C-Pap 07/30i2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P1 1312813B1 ED. Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N

9 21 :43 NYM 72.0 Weight: Date Time Lbs 07/06/2019 21 :43 NYM 200.0 Prosthetic Devices/Equipment: Denied Potential Items For Follow-up: ~ Travel Outside US Other Infectious Disease History Comments: .cm Provider 182.9 .b)(6); (b)(7)(C) Kg Waist Circum. 90.7 I have reviewed O pages of intake p

other: Exp. Date: ------ May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N/A

Date Time Lbs Kg Waist Circum. Provider 07/06/2019 21 :43 NYM 200.0 Prosthetic Devices/Equipment: Denied Potential Items For Follow-up: ~ Travel Outside US Other Infectious Disease History Comments: 90.7 I have reviewed O pages of intake paperworks f ><6); (b)(7)(C) IPA-C Generated 07/06/2019 2