Court filing
Exhibit — USA v. ADRIENNE PONZO (Dkt. 23.4)
Filed April 6, 2026 in USA v. ADRIENNE PONZO; one of 7 filings from this case.
Record facts
| Court | U.S. District Court for the District of New Jersey |
|---|---|
| Filed | 2026-04-06 |
U.S. District Court for the District of New Jersey · No. 1:23-mj-02053-AMD · Doc. 23-4 · 2026-04-06 · Docket on CourtListener
Full text
Case 1:23-mj-02053-AMD Document 23-4 Filed 04/06/26 Page 1 of 2 PagelD: 83 EXHIBIT C Me 23-m| ’ ; DELAWARE : AcOpy OF THs REPORT ame Sk TANS REY ny has coe 5 COR SATRON TRE sp Y am POR Ty see KER'S NAMP Adriegate a X Progress Don Date SL urs hy . Emphoyer Mame Vay a mr Irwwret Name EXAM ate M2205 Tnewrer Cette Nip Phooe Fax 430) T3b-28KHTIOD) 359444 ™ INITIAL Vestry ONLY worker's descriptive pf scoters tagary WORK RELATED MEDICAL DIAGNOSIS (Es) Muscle spam of hackiMn? 4) TREATMENT PLAN Diagnostic Tests Procedures Theragry Rise PT Moedicatiogs Lin per day palicnican work: = _#+ 4 6 4 2 xa D.O.T Csssification of Work Sodesmry Exon 18 Ihe. of fe Sondaterally aad've « negligible anmnal ol bere irogenste WW, caery. pea, pel cx etherwine maven chfextn ra icing he a ay Semiay nn sg met eine het wf aaah cence hr ep Light Fey ee) Rit rer armemtanalt: entice op > 90a of force aman andr acuveant of etree = acal Demand roqairemens are in excess iif thowe fur Sodentary Work Medium Using 20 80 Bf cea 10625 gm moe en gh we es = ohlects, Physical Dersand requirements eeecenn 1a theme for fe mane 30 te: BOs asf Seas gcd wedior 25 te 56 Ia: of ts daiadie ano 16 ts Sd Ios ef ee ad aes rec iaone Ayer Demand eveqvirements ar¢ in eacens of thove Sor Malieas Week. id ve naancd pene sega Lp vomarbashe ie para) 2 sy Vong, CPB OER NPP aR Sl aod seo Ptrysical Demand royatternents are at aces o€ thone for Horry Work a more« dmon cxinte up te 1/5 of he eee ee scan or condition exes es ptaipe naire rh : 1 condition exits fom 2) or mere Convtantiy: etry rived the putient’s sbvdotice Lam fer the fothewan Comment a appropriate i the pace pe ‘Siuing _ YES (Seat Date Date 03262026 Next Appotemment AL Cotified Provider X YES NO "Refersces the Hewlthcare Pract: Wo the 19 Deb. §2322,A)°
File and source
- File
- gov.uscourts.njd.514825.23.4.pdf
- Size
- 113,072 bytes
- SHA-256
- cd17e5373cba7f3faa416d6db4fb23d5a52f642372b66a5f58c2e7d7839a8bd8
- Our copy
- gov.uscourts.njd.514825.23.4.pdf
- Original
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