On August 30, 2012 a
Exhibit,Appendix
was filed
involving a dispute between
Xxxxx Xxxxxxxx,
Xxxxxx Xxxxxxxx,
and
Berlin Obgyn Associates,
Family Psychology Of Long Island,
Janssen Pharmaceuticals, Inc. K N A Ortho-Mcneil-Janssen Pharmaceuticals, Inc.,
Richard Pitch,
Ronald J Tadeo,
Scott Berlin,
Shore Psychiatric Center,
Zydus Pharmaceuticals Usa, Inc.,
for Tort
in the District Court of Suffolk County.
Preview
FILED: SUFFOLK COUNTY CLERK 08/14/2023 01:54 PM INDEX NO. 026910/2012
NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023
EXHIBIT J
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FILED: SUFFOLK COUNTY CLERK 08/14/2023 01:54 PM
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NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023
North »■»„ Long Island Jewish
Shore LiJ Medical Center
North Shore-Long Island Jewish Health System
Health Information Management
270-05 76th Ave
New Hyde Park, NY 11040
Phone: (718)470-7451
Fax:(718)470-6202
Date:
IrN'IS
Re Patient- C S
Patient's DOB smo
MR#:
Date[s] of Service: 40- li-/# w n.
I, the undersigned, am authorized by Long Island Jewish Medical Center to-certify the attached
record and proclaim the following:
The attached records .(1) is a copy of the original record which record was made in the regular
course of business and was made at the time or withnrai easonable timcthui carter of the act,
event, .condition, opinion or diagnosis by a person with knowledge of the matters reflected in the
record; (2) was kept in the course of regularly conducted activity; and (3) was created as part of
the regular practice of the provider with regards to above named patient.
Lordy Josama
Associate Director '
Health Information ManagexnenVUJMC
North Shore LU Health Systems rPLAlNT^FS-l
I EXHIBIT
13 Seven (7) I
UJMC_000001
EXP8/1 EXP8 llllllllllllllllllllll
SUFFOLK11:08
FILED: 05/07/2018 COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P,004/017
026910/2012
NYSCEF DOC. NO. 260 ( RECEIVED NYSCEF: 08/14/2023
I H
Island Plastic Surgery
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a/Erica/Forms/Progreis Notca.doc
Island Plastic Surgery_000002
EXP8/2 EXP8-002
FILED: 05/07/2018
SUFFOLK11:08
COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P,005/017
026910/2012
NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023
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Island Plastic Surgery_000003
EXP8/3 EXP8-003
FILED: 05/07/2018
SUFFOLK11:08
COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P.006/017
026910/2012
NYSCEF DOC. NO. 260 I
RECEIVED NYSCEF: 08/14/2023
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EXP8/4 EXP8-004
FILED: 05/07/2018
SUFFOLK11:08
COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P.007/017
026910/2012
NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023
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Island Plastic Surgery
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Physician:
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C:/Hricfl/Forms/Progress Notes.doc
Island Plastic Surgery_000006
EXP8/6 EXP8-006
SUFFOLK11:09
FILED: 05/07/2018 COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P.009/017
026910/2012
NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023
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Cr/Erica/Forms/Progress Notes.doc
Island Plastic Surgery_000007
EXP8/7 EXP8-007
SUFFOLK11:09
FILED: 05/07/2018 COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P.010/017
026910/2012
NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023
V
Island Plastic Surgery
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Physician:
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EXP8/8 EXP8-008
FILED: 05/07/2018
SUFFOLK11:09
COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P.011/017
026910/2012
NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023
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For full print and download access, please subscribe at https://www.trellis.law/.
Preview
FILED: SUFFOLK COUNTY CLERK 08/14/2023 01:54 PM INDEX NO. 026910/2012 NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023 EXHIBIT J tlwuLu.'^ .CvwCiwvCwk-w:-.o.\ ■] FILED: SUFFOLK COUNTY CLERK 08/14/2023 01:54 PM t- .\u-.___ i..-.-..-.V... .•••-• • . '• ■.viv-'i-j ..•.v. -v.v.-. - INDEX NO. 026910/2012 V..v f•*•*•• --. -’-... »•- - . •• V NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023 North »■»„ Long Island Jewish Shore LiJ Medical Center North Shore-Long Island Jewish Health System Health Information Management 270-05 76th Ave New Hyde Park, NY 11040 Phone: (718)470-7451 Fax:(718)470-6202 Date: IrN'IS Re Patient- C S Patient's DOB smo MR#: Date[s] of Service: 40- li-/# w n. I, the undersigned, am authorized by Long Island Jewish Medical Center to-certify the attached record and proclaim the following: The attached records .(1) is a copy of the original record which record was made in the regular course of business and was made at the time or withnrai easonable timcthui carter of the act, event, .condition, opinion or diagnosis by a person with knowledge of the matters reflected in the record; (2) was kept in the course of regularly conducted activity; and (3) was created as part of the regular practice of the provider with regards to above named patient. Lordy Josama Associate Director ' Health Information ManagexnenVUJMC North Shore LU Health Systems rPLAlNT^FS-l I EXHIBIT 13 Seven (7) I UJMC_000001 EXP8/1 EXP8 llllllllllllllllllllll SUFFOLK11:08 FILED: 05/07/2018 COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P,004/017 026910/2012 NYSCEF DOC. NO. 260 ( RECEIVED NYSCEF: 08/14/2023 I H Island Plastic Surgery Patient Name: Physician: 1 6^ i jfcy# /2g.SL*- / Jm^ & l^h\. - ^ ..... .— /- -"C V c, f a- .'ix-uu~--/ 'a. A 7 V Z 7 tlh(li( ft .yj,. &>} /^i lUsJL ______ /Z PbfLt^<^- f^Lc^CC^A—- X (T / a/Erica/Forms/Progreis Notca.doc Island Plastic Surgery_000002 EXP8/2 EXP8-002 FILED: 05/07/2018 SUFFOLK11:08 COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P,005/017 026910/2012 NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023 \ \ a Island Plastic Surgery Patient Name: r Physician: f(r\Q teUtL /Ua (vottjurs- SpoJaKf kXT~ /you/-fCKfii--' U-eXi CorT, -fo liou tt] , / •fjzJL ?? ('’YfA^nAfc/CTyd --------------- ?Q£l T?) fi)Uou--Up^. &Yc[r) ^Vu> iX Aac? O Q u ki tel I?m r&fcK- tV mnFK o c\ CV,pPOrL navr (jL Ltoy ro/i4lct l -\AUJkJ-L^dl_____________ /lM I71X ■06/. v: / C-C fK fJ&3 /rV/s^J ,Sh; -^-y /Ll/ic'- zz 7 I C:/Erica/Forms/Progress Notes.doc Island Plastic Surgery_000003 EXP8/3 EXP8-003 FILED: 05/07/2018 SUFFOLK11:08 COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P.006/017 026910/2012 NYSCEF DOC. NO. 260 I RECEIVED NYSCEF: 08/14/2023 a /•’* Island Plastic Surgery Patient name: Physician: "l/At/ PMfj (-j fi}-] ^^ I/Ia _____ _______ ^ /A? hds? a4J^. /fCc^n typ HJm *fv f^- q/u(|a ttZUf 1'> L< ' P’Cfidpn Om^odo^ 1 (^p (W^Pf^rHxVcrxfrffufr IrrudsV&J^ -'fif- A^r>fkDr-- I, Lit (> P dxs - m! )imc>Ai> ^ gift Q\^rcJ / r/)r\ C-Or^w fidJtfS&eA . H&ia - Im^Zf z 1>/^ ftA 2 OA\a CK. \\ dVaZy- '-rAW •T&T^g, ./ /7 ) wgiia c^j -iZ v.-...^2 ■~Va2-rs£ rU4A—cp^te^ r\rYSUf\^ 4 if^uJ7 / _____ tJ (Uj /~C7 27 /) S*1 7 7 C:/Erica/Forms/Progress Notes.doc Island Plastic Surgery_000004 EXP8/4 EXP8-004 FILED: 05/07/2018 SUFFOLK11:08 COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P.007/017 026910/2012 NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023 a Island Plastic Surgery Patient Name: Physician: 1 ^ IV eli t?! t^ll ■^fAiVvPl^H. 1 T ^ i A__ 3 C- 60i^) -Psi ______ _ c~ 1 i ________________ 5" P^yrf) \jLaslS) — IfL&rUstL- . /lA^i/l /* CtL't^L —, ' ^hJ /rfrlJ&j. 7T CjL JL (*j n-rth __________________ A'c Q.-wIpS1 - Cjpt^f PaJ. PtJ- -?i> hu*^>j x'i/L fioJU |) l iMiUU n- Vt| Aijg^O|ct /(>4^f clM.bx\ \ ________ ‘bf'M-tv- Ke*,Liu. C:/Hricfl/Forms/Progress Notes.doc Island Plastic Surgery_000006 EXP8/6 EXP8-006 SUFFOLK11:09 FILED: 05/07/2018 COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P.009/017 026910/2012 NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023 r Island Plastic Surgery Patient Name: 0 S Physician: -£^.■(7___ sin %/)/ ,.__ 'old 0\Vr> • lrpV\g.^ ^r/'iiApyN (^voKcodLoA^ frot^UlrC.( ^mTAj ratf jQij&mJ&rCr Muu ph Qnrtrtf- ~ fOo4^0AS iaWin or O AC>\ Ai ^ cUrZf'lrfi *_____ '. . .utei t- mz Cr/Erica/Forms/Progress Notes.doc Island Plastic Surgery_000007 EXP8/7 EXP8-007 SUFFOLK11:09 FILED: 05/07/2018 COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P.010/017 026910/2012 NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023 V Island Plastic Surgery Patient Name: Physician: yJ (Vu/ [ -<)(?.. J\Jkttci______ _______ _ U ' * ~\£7^/ij&aXL J&Ccl. 6fU&- /&//. tV/£& i/ (hl/zu fikctj / i snuij _____________ */Uhoh &u4*j X failsul _______ ~irffj- Mca^^'jn. ts^fae 'Mf [I ^vpaSyWaT? ip^UU -A^ f LIALClMj ^0 [CtLfQ UjIJ DQiaa-^ Q _ v 7 C;/Erica/Form s/Progresa Notes.doc Island Plastic Surgery_000008 EXP8/8 EXP8-008 FILED: 05/07/2018 SUFFOLK11:09 COUNTY CLERK 08/14/2023 01:54 PM (FAX) INDEX NO.P.011/017 026910/2012 NYSCEF DOC. NO. 260 RECEIVED NYSCEF: 08/14/2023 c Island Plastic Surgery J Patient Name: Physician: Ihl P i l S VC A uljn rwD'0W , ^.JLl d/lu \0 (VK& | Mor-- qUl r 4y>i /n^_ iftW, ^ Wfh Q-U?M~^-r ^reMA //^fto klVcgnc^ kV^w^Wrv ^ (K\^ Ue^Ur^wciJ ^ Vi>K^ / 7 X^% Z) fpnM-np vl Vf^AvVas rv^. rii£PiC;u\V ^Aoi>sn^ JnV larx^r ^V<^.ajvryj^ Wl. kbse -f^pliVcB (\ |cvrS( fawh & fajh ■i^us'fkl^as b/e_ y Im* \/ll<- V. Htu** \aSmj~ p(jpfc~ y^T) m? 7/- d/md^nJ : rt W fkagtyN^ -ft" |OrQ^I ^ (X^ cruDLH-Vl ^r^T7' /• i ^TgijooUf'Irly f l/l peiMt*! 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