EFTA02045526.pdf

To: • n' • Cc: From: ebe Sent Fri 8/5/2016 7:12:10 PM Subject.• Fwd: New patient form - Dr. Visco Hi Jojo, Can you please go to Dr. Visco's office and pick up new patient forms for Jeffrey. Please bring them back to the house so they can be filled out prior to Jeffrey's appointment Monday morning. Thank you so much! Sent from my iPhone Begin forwarded message: From: Bebe Avdiu Date: August 5, 2016 at To: Karyna Shuliak 2111111.111 Cc: Subject: New patient form - Dr. isco Reply-To: • Dr \ is ) They close at 5:00pm today. Was told that you can pick up new patient form at the office and bring back on Monday. Bebe Avdiu Legal Assistant DARREN K INDYKE, PLLC EFTA_R1_00579812 EFTA02045526