This document is a medical order form from Quest Diagnostics for patient Jeffrey Epstein, born on January 20, 1953. The form includes various test panels and individual tests that are to be conducted, with Bruce Moskowitz, MD, listed as the supervising physician. The form is largely incomplete, with many fields such as patient contact information, insurance details, and test collection data left empty. The document emphasizes the necessity of ICD diagnosis codes and notes that reflex tests incur additional charges.
documents/EFTA00304938.pdf
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