From: Lesley Groff

From: Lesley Groff To: Jefffrey Epstein cti Subject: Fwd: Columbia Doctors Orthopedics Appointment Confirmation Date: Fri, 02 Feb 2018 21:18:03 +0000 Attachments: RAL_New_Patient_Intake_Form_(Adult).pdf Inline-Images: image003.jpg; image004.jpg; image005.jpg; image007.jpg; image01 1.png Begin forwarded message: From: Ortho ApptSchd Subject: Columbia Doctors Orthopedics Appointment Confirmation Date: February 2, 2018 at 4:16:53 PM EST To: " 2/2/2018 Dear JEFFREY EPSTEIN, Thank you for choosing Columbia Orthopedics. Details regarding your appointment are below: YOUR APPOINTMENT APPOINTMENT DATE Monday, February 12, 2018 APPOINTMENT TIME 9:15AM X-RAY ARRIVAL TIME (IF INSTRUCTED) 'Radiology check-in is located on the Floor • Please check-in 60 minutes prior to your scheduled appointment LOCATION The Spine Hospital NewYork-Presbyterian/Allen 5141 Broadway @ West 220th Street 3 Field West; New York, NY 10034 PARKING Valet parking is available at main entrance MAP EFTA00468872 cti In order to ensure that your experience goes as smoothly and efficiently as possible, please review the information below: WHAT YOU SHOULD BRING WITH YOU Referrals Please contact your insurance carrier to see if a referral is required for your visit. X-Rays, MRIs or CT scans from outside facilities Prior surgical reports If you had imaging done at an outside facility, please bring the CD-ROM and imaging report to your visit. Please bring copies of any operative reports from prior surgeries. Necessary forms Please complete the attached packet of REQUIRED forms and bring them to your appointment. Failure to bring completed forms may delay your check- in and appointment time. Insurance Card Please bring your insurance card with you the day of your scheduled appointment WHAT TO EXPECT -- 1M Payments/Co-Pays Please be prepared to pay all required co-pays and/or time of service payments on the day of your appointment. We accept cash, check, and all major credit cards. EFTA00468873 You should plan to be at our office for How much time will it take? approximately 2 hours. Subsequent visits should take less time. Please do not hesitate to call my office at 212-932-5100 with any questions you might have. I look forward to seeing you for your initial evaluation. EFTA00468874