EFTA02047788.pdf

To: Dr. Ash Tawari From: Sent Mon 7/25/2016 4:43:40 PM Subject Re: Office of Dr. Ash Tewari Hi Anusah...1 scanned and emailed the paperwork to you this morning...Can you please confirm receipt and let me know if there is anything else you need before Jeffrey's arrival today at 2:15pm? thanks, On Jul 22, 2016, at 1:33 PM, Rai, Anusha wrote: Thank From: Sent: Friday, July 22, 2016 1:28 PM To: Rai, Anusha Subject: Re: Office of Dr. Ash Tewari Hello Anusha...Will be happy to scan and email his paperwork...I just need to get it from him... Will do so today...thank you, On Jul 22, 2016, at 1:27 PM, Rai, Anusha wrote: Can you please send me Mr Epstein's registration forms and questionnaires. I spoke with Mr Epstein and he told me it was forwarded to someone and that you would be having a copy. This is regarding Mr Epstein appointment with Dr Tewari on 07/25/16 Thanks Anusha From: Antonucci, Amanda Sent: Friday, July 22, 2016 1:11 PM To: Rai, Anusha Subject: FW: Office of Dr. Ash Tewari From: Sent: Tuesday, July 19, 2016 9:46 AM To: Antonucci, Amanda EFTA_R1_00583427 EFTA02047788 Subject: Re: Office of Dr. Ash Tewari excellent! Will do! thanks so very much for your help On Jul 19, 2016, at 9:35 AM, Antonucci, Amanda wrote: Hello Mr. Epstein is scheduled for Monday, July 25th at 2:15pm. Our address is 625 Madison Avenue, r d floor between 58th and 59th street. Please kindly have the attached forms completed and returned to me via email or fax in advance of the appointment. Please let me know if you have any questions. Best, Amanda Amanda Antonucci, RN Office of Ash Tewari, MBBS, MCh Chairman, Department of Urology Professor of Urology Icahn School of Medicine at Mount Sinai Clinical Office 625 Madison Avenue, 2n° Floor New York, Telephone: CONFIDENTIALITY NOTICE: This e-mail/fax and its attachments may contain PRIVILEGED and CONFIDENTIAL INFORMATION and/or PROTECTED PATIENT HEALTH INFORMATION intended solely for the use of Mount Sinai Medical Center and the recipients) named above. If you are not the intended recipient, or the employee or agent responsible for delivering this message to the intended reciPlent, you are hereby notified that any review, dissemination, distribution, printing, or copying of this e- mail message and/or any attachments is strictly prohibited. If you have received this transmission in error, please notify the sender immediately and permanently delete this e-mail (shred the document) and any attachments. <Registration Forms 2016.pcit EFTA_R1_00583428 EFTA02047789