<table><tr><th>From: </th><th></th></tr><tr><td>Sent:</td><td>Monday, August 13, 2012 5:39 PM</td></tr><tr><td>To:</td><td>Kristin Mainprize</td></tr><tr><td>Cc:</td><td>Waleska I. Padillo</td></tr><tr><td>Subject:</td><td>Re: appt with Dr. Rosenwaks</td></tr></table>

HI Kristin,

I have =ried to fax the paperwork over, but there is no answer on the fax at █████████. Can I just scan and ███ it
back to =ou?

On Jul 31, 2012, at 9:04 AM, Kristin =ainprize <██████████████████████> =rote:

As requested we =ave attached the questionnaire for you to complete and send back. Upon =eview we will contact you to schedule an appointment. If you have any =uestions feel free to  or call us.

Thank =ou,
Kris J. =ainprize
Weill Greenberg Center

<QUESTIONNAIRE =NEW).doc>