JOHN L. GREEN, J.D., Ph.D., C.P.

A
Attorney And Counselor At Law

4888 LOOP CENTRAL DR., #445 Tel. (713) 660-7400

HOUSTON, TEXAS 77081 Fax (713) 660-9921

Monday, June 26, 2017

Beth Sanders
Custodian of Billing Records
Synergy Radiology Associates
7026 Old Katy Rd, STE. 276
Houston, Tx 77024-2137

RE: Patient/Client: Brittani D Royston

Date of Accident: April 4, 2016
Account #: MMR1530088
Date of Birth: August 27, 1986
Date of Service: April 4, 2016

Dear Beth Sanders:

This office represents the aforementioned client in a lawsuit stemming from injuries
sustained in an automobile accident which occurred on April 4, 2016. We have previously
submitted an original Medical Authorization on June 21, 2017 executed by our client giving this
office the authority to possess her medical records and itemized bills. We have received your
pre-payment authorization letter dated June 22, 2017. Attached below is a copy of the original
request for Medical Authorization and HIPAA Release for account # MMR1530088. Also
attached is a firm check in the amount of $25 made payable to Synergy Radiology Associates.
Thank you for your time and prompt response.

Kind Regards,

BLAIR K. WOODARD,
Associate Attorney at Law

Enclosure: 1.Medical Authorization

2. Firm Check in the amount of $25 for records
3. Synergy Radiology Associates Invoice