Christopher Little

 
 From: Stephanie Gonzales Fax: 19304630830 
 To: 
 Fax: (430) 308-5305 
 Page: 7 of 20 
 03/15/2022 8:55 PM 
 Dr Jennifer Stevenson, M.D. 
 Adjunct Assistant Professor, Pain Management 
 (930) 301-2300 
 Fax (830) 930-9305 
 DATE OF REPORT: 
 21/08/15
 PATIENT: 
 Christopher Little 
 BIRTH DATE: 
 11/05/98 
 SS# 
 530-25-0303 
 EMPLOYER: 
 Superstores Industries 
 CLAIM # 
 SIF11430630 
 injury date: 
 01/11/20 
 Department of Industrial Relations/Subsequent Injury Benefits Trust Fund, 1750 Howe 
 Ave, Ste 370, Sacramento, CA 95825-3367 (916) 928-4601 Fax: (916) 928-4705 
 SUBSEQUENT INJURY BENEFITS TRUST FUND SUPPLEMENTAL REPORT 
 Mr. Foster's attorney requested that I prepare a report discussing additional medical 
 records (see his 2/28/22 letter).
 Emanuel Medical 1021 pages
