700 Park Avenue I New York, NY 10021 WWW.DrKlineDermatology.com From: Sent: Friday, January 11, 2019 1:46 PM To: Jennifer Rodriguez Subject: Re: Dr. Kline's Office HI Jennifer and thank you for getting me the paper work. I plan to hand this to Jeffrey before he bolts out the door, but just in case, I am sending this to you as well! I've included a copy of his Insurance Card. He still needs to sign and fill out the personal questions...I have done as much as I can for him now! On Jan I I, 2019, at 1:05 PM, Jennifer Rodri uez .com> wrote: Hi EFTA_R1_01088666 EFTA02275088

Please see attached and if you have a copy of his insurance card I need a copy of that also. Thank You. Jennifer Rodriguez Mitchell A. Kline, M.D.,P.C. Dermatologic and Cosmetic Surgery 700 Park Avenue I New York, NY 10021 WWW.DrKlineDermatolotv.com EFTA_R1_01088667 EFTA02275089

<PatientHistory-NEW- Jan2018.pdf><DR KLINE REGISTRATION NEW 2013.pdf> <EPSTEIN.pdf> EFTA_R1_01088668 EFTA02275090