This document is a new patient intake form for Jeffrey Epstein at ColumbiaDoctors. It includes personal information, medical history, and consent agreements. The form is filled out for an appointment on February 14, 2018, and includes sections on patient information, medical history, allergies, current medications, and a review of systems. It also contains orthopedic and spine supplements for assessing pain and disability.
documents/EFTA00313814.pdf
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