Epstein Secrets

EAST RIVE R MEDICAL IMAGING, PC Date: 10/14/2015 Patient Name: EPSTEIN, JEFFREY PATIENT INFORMATION RECORD Medical Record Number #: 0315192 Social Security it: 090.44-3348 Address: Apt/Unit/Suite: City. SAINT THOMA

EAST RIVE R MEDICAL IMAGING, PC Date: 10/14/2015 Patient Name: EPSTEIN, JEFFREY PATIENT INFORMATION RECORD Medical Record Number #: 0315192 Social Security it: 090.44-3348 Address: Apt/Unit/Suite: City. SAINT THOMAS State:

s If yes, please provide date of implant Magnetic Dental Implants Transdermal Patches IUD Tissue expander for future implants Bone Stimulators. Insulin Pumps, or Mechanical Valves Programmable Shunts WARNING: Before entering the MR room, you must remove all metallic objects Including HEARING AIDS, DENTU

EAST RIVER MEDICAL IMAGING. PC MAGNETIC RESONANCE IMAGING IMRI) Patient Name; EPSTEIN. JEFFREY MRN #: 0315192 Age: 65 Years Sex: M Height Feet Inches Weight Referring Physician: MOSKOVVITZ, BRUCE W. M.D. M.D. Exam Code: MRCL

RESONANCE IMAGING IMRI) Patient Name; EPSTEIN. JEFFREY MRN #: 0315192 Age: 65 Years Sex: M Height

e provide date of implant: O Magnetic Dental Implants O Transdermal Patches 0 IUD O Tissue expander for future implants O Bone Stimulators. Insulin Pumps. or Mechanical Valves O Programmable Shunts WARNING: fore entering the MR room, you must remove all metallic objects including HEARING AIDS, DEN

EAST RIVER MEDICAL IMAGING. PC Date: 06/05/2018 Patient Name: EPSTEIN, JEFFREY PATIENT INFORMATION RECORQ Medical Record Number #: 0315192 Social Security Address: 6100 RED HOOK QUARTERS Apt/Unit/Suite: APT B3 C

EAST RIVER MEDICAL IMAGING. PC Date: 06/05/2018 Patient Name: EPSTEIN, JEFFREY PATIENT INFORMATION RECORQ Medical Record Number #: 0315192 Social Security Address: 6100 RED HOOK QUARTERS Apt/Unit/Suite: APT B3 City: SAIN

implant: 0 Q Magnetic Dental Implants I= D Transdermal Patches CI D IUD 0 0 Tissue expander for future implants 0 0 Bone Stimulators. Insulin Pumps, or Mechanical Valves 0 D Programmable Shunts WARNING: Before entering the MR room, you must remove all metallic objects including HEARING AIDS,