Bethany Jacobson

KAISER PERMANENTE庐 
 Bethany Jacobson 
 MRN: 110794079879, dob: May 28, 1997, Sex: 
 F 
 SSN: xxx-xx-3794 
 VISITING DATE: Nov 27, 2016
 Oct 03, 2020 - Telephone in ADULT AND FAMILY MEDICINE (continued) 
 Clinical Notes (continued) 
 Status: Signed 
 Editor: Clark, Juliana Elizabeth (M.A.) (MEDICAL ASSISTANT) 
 Electronically signed by Clark, Juliana Elizabeth (M.A.) at Dec 06, 2022 9:44 AM 
 Telephone Encounter by Clark, Juliana Elizabeth (M.A.) at 1/13/2011 0944 
 Version 1 of 1 
 Author: Clark, Juliana Elizabeth (M.A.) 
 Service: - 
 Author Type: MEDICAL ASSISTANT 
 Filed: 1/13/2011 9:44 AM 
 Date of Encounter: Oct 06, 2014 
 Creation Time: 1/13/2011 9:44 AM 
 Status: Signed 
 Editor: Clark, Juliana Elizabeth (M.A.) (MEDICAL ASSISTANT) 
 Generated on 4/12/22 10:33 AM 
 000564 
 0563
