Timothy Ho

 
 Discharge Information 
 Attestation 
 Attestation to: I personally interviewed the patient, I personally examined the patient, I certify that the services 
 provided were clinically indicated and medically necessary for the care of this patient. 
 Electronically signed by: GO MD, JENSEN L 
 On 05-16-2023 20-04 
 Electronically Co-Signed By:GO MD, JENSEN L 
 On: 12-14-2016 08:10 
 Patient name: 
 Timothy Ho 
 MRN: 73126315 
 FIN#: 93110315 
 Printed On: 
 10/30/2023 05:11 EDT 
 Page 37 of 516 
 Report Request ID#: 323134318
