Angela Frost

 
 From: Stephanie Gonzales Fax: 19494649849 
 To: 
 Fax: (449) 498-5495 
 Page: 7 of 20 
 03/15/2022 8:55 PM 
 Dr Danielle Gardner, M.D. 
 Adjunct Assistant Professor, Pain Management 
 (949) 491-2490 
 Fax (849) 949-9495 
 DATE OF REPORT: 
 04 May 2018
 Patient name: 
 Angela Frost 
 Date of Birth: 
 25 Sep 1986 
 SS# 
 549-25-0493 
 EMPLOYER: 
 Superstores Industries 
 CLAIM # 
 SIF11449649 
 Injury Date: 
 11 Jun 2017 
 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
