To: Jefffrey Epstein[jeevacation©gmailcom]
From: Lesley Groff
Sent: Tue 9/25/2018 3:23:03 PM
Subject: Dr. Paduch-Nee your signature on Medicare Waiver

Dr. Paduch's office has sent over a Medicare waiver...I filled out what i can...need your signature and initials. Shall I bring to you? I can scan and email back to her once completed: we need to have on file in Mr. Epstein's chart annually. This is just acknowledgement that Dr. Paduch does not participate with Medicare insurance.

Please have Mr. Epstein fill out the second page, Please have him initial the rest of the page. On the second page, please have him initial, date and sign.