EFTA02040285.pdf

To: From: i jg r Sent Fri 10/7/2018 2:13:08 PM Subject: Re: Forms to fill out for Dr.Krumholtz yes 6 On Fri, Oct 7, 2016 at 10: I0 AM, wrote: I have one page of personal information you must till out for Dr. Kromholtz...and I need your signature... I have paid your co-pay I can fax all paperwork over once you complete...may I bring to you? please note The information contained in this communication is confidential, may be attorney-client privileged, may constitute inside information, and is intended only for the use of the addressee. It is the property of JEE Unauthorized use, disclosure or copying of this communication or any part thereof is strictly prohibited and may be unlawful. If you have received this communication in error, please notify us immediately by return e-mail or by e-mail to [email protected], and destroy this communication and all copies thereof, including all attachments. copyright -all rights reserved EFTA_R1_00564832 EFTA02040285