Mary Koch

 East End Clinic 
 7613 Lee Prairie
Amymouth, CA 68425
 Phone: 626-622-2793 Fax: 493-730-4536 
 Transcription 
 PATIENT: 
 Mary Koch
 Service ID #: 44254600476
 Referral Q ID: 
 BIRTHDATE: 
 10-08-1997 Age: 73 
 injury date: 03-01-2021
 Service Date: 15-06-2015 
 Dictated By: Dr Sara Soto, MD 
 Diagnosis: Diabetes Mellitus 
 Notes: 
 PHYSICIAN PROGRESS REPORT 
 EMPLOYER: Joseph J Albanese Inc 
 injury date: 03-01-2021 
 Dear Claims Examiner: 
 I personally reviewed the patient's Past Medical, Family, and Social 
 History as reported on the initial visit, and it remains unchanged other 
 than the exceptions otherwise noted. 
 OBJECTIVE FINDINGS: 
 General Appearance: The patient is examined, in no apparent distress. He 
 is alert and oriented x3. He is well-developed and well-nourished male 
 appearing his stated age. 
 Examination of the Lumbosacral Spine: 
 Dictated By: Dr Sara Soto, MD 
 Dictated On: 7/23/2020 3:36 PM 
