AUTHORIZATION

I, , GIVE PERMISSION TO THE LAW OFFICE OF ROSENBAUM AND ASSOCIATES, TO SET UP A CLAIM AND OBTAIN MY MEDICARE INFORMATION FOR THIS CLAIM FROM THE MY MEDICARE PORTAL FOR THE DURATION OF THIS CLAIM FOR THE ACCIDENT OF .
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Document name: Medicare Portal Authorization - Crystal Hawkins

Unique Document ID: f0089c13016babff2e9d2ac281a801644939a025

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Timestamp	Audit
May 19, 2020 8:47 pm GMT	Medicare Portal Authorization - Crystal Hawkins Uploaded by David Rosenbaum - test@rosenbaumfirm.com IP 68.80.162.82
May 21, 2020 12:01 am GMT	Crystal Hawkins - chawkins@rosenbaumfirm.com added by David Rosenbaum - test@rosenbaumfirm.com as a CC'd Recipient Ip: 68.80.162.82
May 21, 2020 4:28 am GMT	Crystal Hawkins - chawkins@rosenbaumfirm.com added by David Rosenbaum - test@rosenbaumfirm.com as a CC'd Recipient Ip: 68.80.162.82
May 21, 2020 4:49 am GMT	Crystal Hawkins - chawkins@rosenbaumfirm.com added by David Rosenbaum - test@rosenbaumfirm.com as a CC'd Recipient Ip: 68.80.162.82

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https://www.rosenbauminjuryfirm.com/

Audit Trail Serial# 78d6c7fb8d267494b06be0df1bcd121b