From: Lesley Groff To: Jefffrey Epstein <[email protected]> Subject: Fwd: Appointment with Dr. Rodriguez-Wed. July 11th at 9am (arrive 8:45am) Date: Mon, 09 Jul 2018 18:24:08 +0000 Attachments: New_AdulUrev_03.22.18).pdf; Patient_Informational_Forms_(11.1.17).pdf Inline-Images: image001.png -Dr. Rodriguez cancellation policy is 24 hours (1 business day) prior to your appointment. Failure to notify may result in a cancelation fee. Your appt is at 9am this Wed. July I 1 th (arrive 8:45am) -I have printed the paper work and will fill out as much as I can then scan and email to you. Begin forwarded message: From: NYU Plastic Surgery a> Subject: Appointment with Dr. Rodriguez Date: July 9, 2018 at 1:05:57 PM EDT To: Good Afternoon, You have been scheduled to see Dr. Rodriguez on Wednesday July 11th at 9:00am. The address is 305 E 33rd Street New York, NY 10016. Attached is the new patient paperwork as well as informational forms to fu a llotice of Privacy Practices, and the HIE Factsheet. The completed paperwork can be faxed to r emailed to [email protected]. The forms should be completed in their entirety prior to your visit with us. This will enable your appointment to proceed most efficiently. Please take the time to review this information and let us know if you have any questions. A Few Reminders: • Please bring your insurance card and photo ID. • Please arrive 15 minutes before your appointment time. • If your insurance has a copay, coinsurance, or deductible, please be prepared to pay it on the date of service. Also, if your insurance requires a referral, it is your responsibility to obtain one and provide it before your office visit to ensure insurance coverage for your visit. • Personal checks exceeding $1,000 and CareCredit are not accepted as forms of payment Please note that we do have a cancelation/rescheduling policy that requires you to provide us with a 24 hour (1 business day) notice for any changes to your ex