A medical test requisition form for Jeffrey Epstein, ordered by Dr. Mitchell Klire. The form includes various test codes and panels, with specific tests marked for CBC w/Diff-Hgb, Hct, WBC, RBC, Pt, Dx Diff L and Health Profile 1 BX, L. The form is from Quest Diagnostics and includes details for billing and insurance, though many fields are left empty.
documents/EFTA00298596.pdf
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