Epstein Index›Documents›EFTA00313804
💨IMPACT LEVEL 1 — MEH

Epstein File EFTA00313804: Minor and Arrangement (DS9)

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This document contains a form or authorization request dated January 17, 2018, referencing a minor and requesting an arrangement. The excerpt indicates a patient or representative signature line and instructions to contact a Site Manager to discuss a satisfactory arrangement if the listed individual is a minor. The specific context and purpose of the arrangement are not clear from the available excerpt.

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PersonKeyword
Excerpt 1
authorization The e-mail address I wish to use is: jeevacation@gmail.com JAN. 17,2018 Patient/Representative Signature Date If the patient listed above is a **minor**
Excerpt 2
Please ask to speak to our Site Manager to discuss a satisfactory **arrangement**.

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