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⚡IMPACT LEVEL 3 — NOTEWORTHY

Epstein File EFTA00308055: Laptop, Minor and School (DS9)

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This document is a patient financial responsibility and consent form from NYU Langone Health and NYU School of Medicine, outlining post-operative care procedures, insurance assignment authorization, financial liability terms, and patient medical history intake questions including tobacco, alcohol, and drug use. The form includes authorization for voicemail contact.

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Excerpt 1
The post-operative period for most **minor** procedures that are performed in the office is 10 days from the date of service.
Excerpt 2
NYU Langone Health FACULTY GROUP PRACTICE FINANCIAL POLICIES AND PATIENT RESPONSIBILITY I understand that NYU **School** of Medicine, my treating physicians
Excerpt 3
ASSIGNMENT OF INSURANCE: I hereby authorize my insurance benefits to be paid directly to NYU **School** of Medicine.

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