EFTA00283626Set 9
2014-07-256p1,874w
Facuity Prae:ties
RtnRi
Doctors
ACTC40'itilflGEMETI." OF BP,ar orsors
a OP PRIVACY-PR.4.CrIC.ES
• • [NOPP)
signing below, I acicooydtclge*,at I have been prov
beve therefore berm ... able t olatild Miepadent's
•
acknowledgement of receipt of ±e NOPP tepon
ruion
The panert re.Ø to signdespri
g,otad efforts
C The patient was naaccatapar
https://www.justice.gov/epstein/files/DataSet%209/EFTA00283626.pdf