Date: Tue, 14 Nov 2000 04:20:36 -0300
From: WebMD Messenger
Subject: APPOINTMENT WITH: Robert Burns FOR PATIENT: Sandy DeBartolli

This is a copy for your records.

APPOINTMENT REQUEST WITH: Robert Burns
AT: Primary
WILLING TO SEE ANOTHER PHYSICIAN: no
PATIENT: Sandy DeBartolli
DOB: 3/09/1982
GENDER: female
NEW PATIENT: yes
ADDRESS: 15 Maple St., Sunnyvale, CA 95023
DAYTIME PHONE: 408-234-2344
EVENING PHONE: 408-233-4444
EMAIL: idebartolli@yahoo.com
APPOINTMENT CONFIRMATION BY: daytime phone
INSURED NAME: Isabelle DeBartolli
INSURED'S RELATION TO PATIENT: Child
PLAN NAME: Blue Shield
PLAN #: 124553
GROUP #: 88888888
REASON FOR APPOINTMENT: Followup to blood tests
REFERRING PHYSICIAN: Dr. Jane Doe
REFERRAL #: 124323
FIRST CHOICE: December 7 Early morning
SECOND CHOICE: December 7 Late morning