EFTA00298075Dataset 9
2p1,301w
…health information as described in full detail on the next page. Patient Name: Name of Legal Guardian (if needed): Patient Signature (or Legal Guardian): X Date: 'Required ler processing. The Repathe Patient Start Program Is not available In Massachusetts, Puerto Rico. or where prohtbed by law. Please see Me nen page for the ReparieRor Prone Prheor Rote andkmrodzation. 0 2016 Amgen bo.All rights reserved RepathaReadf Phone: 1.844-REPATHA (737-2842), Hours: 9 m-9 RA ET, M-F…
https://www.justice.gov/epstein/files/DataSet%209/EFTA00298075.pdf