Epstein Secrets

East Slily Medical Rudloff I'I,I.f Sieved D. Wolff M. 171) r. 77". st., 'St". York %% 10073 (212 )

rmation to Individualffamily Members In accordance with Federal government privacy rules implemented through the Healthcare Portability Act of 1996 (HIPAA), in order for your physician or staff of the Practice to discuss your condition with members of your family or other individuals that you designate

:ast Ride Medical ItacSolo*, PI.I.0 Sites cis D. Wolff M.D. Ph.D. 170 E nr• fit_ Nen York, NV 10073 HI

ation to Individualfamily Members in accordance with federal government privacy rules anptitmer tad through the Healthcare Portability Act of 1906 (HIPAA). in order for your physician or staff of the Practice to discuss your condition with members of your family or other individuals that you des-gnatb

East Side II Itau i'1.1.(' ?Hest% 1). Wolff 111.1). l'Ii.1). 170 K n- St., Nen I (irk %I 100 7:$ HIPAA PRIVACY NOTICE • I acknowledge that I have been given • copy el the Pratte:a 'HIPAA Pr

ion to Individualtram_gv Members In accordance with Federal government privacy rules I mpierrien led through the Healthcare Portability Act of 1996 (HIPAA), in order fee your physician or staff of the Practice to discuss your condition with members of your I amuy or other individuals that you despnate,