bove has been given our current Notice of Privacy Practices. STAFF SIGNATURE DATE PATIENT NAME EPSTEIN, JEFFREY 0315192 6/£ £LLPPELZLZ u!0etui Ropaky JaApti 18,33 Wd LL '9Z L SL0Z/£L/L0O EFTA00282928 ,EAST RIVER PATIENT HEALTH HISTORY - MEANINGFUL USE MEDICAL IMAGING, PC Patient Name: EPSTEIN. JEF