To: Nicole Junkermann I From: Lebiey VIVII Sent: Wed 6/21/2017 2:51:21 PM Subject: Fwd: Dr. Merrell's Office- NP Inquiry Checklist for New Patient Inouiries.doc Hi ..can you please fill out this form Dr. Woody Merrell's office needs in order to try and get you in today to see him..the faster we can get this form filled out the better...you can send directly to Candice in his office ...plea Begin forwarded message: From: Candice Subject: Dr. Merrell's Office- NP Inquiry Dat To: Good Morning, Attached is a new patient inquiry form. Please fill it out and email it back to me. Thank you in advance! Sincerely, Candice Smith Administrative Assistant to Dr. Woodson Merrell 44 East 67th Street NY, NY 10065 EFTA_R1_00954620 EFTA02219945