EFTA02046349.pdf

To: From: ai. : nus a Sent: Fri 7/22/2016 5:27:09 PM Subject: RE: Office of Dr. Ash Tewari 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: ues ay, uy , • To: Antonucci, Amanda 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 EFTA_R1_00581051 EFTA02046349  Mr. Epstein is scheduled for Monday, July 25th at 2:15pm. Our address is 625 Madison Avenue, 2nd 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, 2nd Floor New York, NY 10019 Telephone: I F: CONFIDENTIALITY NOTICE: This e-mail/fox and its attachments may contain PRIVILEGED and CONFIDENTIAL INFORMATION and/or PROTECTED PATIENT HEALTH INFORMATION intended solely for the use ofMount Sinai Medical Center and the recipient(s) named above. If you are not the intended recipient, or the employee or agent responsible for delivering this message to the intended recipient, 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.pdf> EFTA_R1_00581052 EFTA02046350