Access Medical Associates, PLLC

PO Box 397 Miller Place, NY 11764

1-800-MDA-4981 (632-4981)

Travel Fitness Note

Date of evaluation: 12/27/21

Patient name: Abhinn Malholtra
Date of Birth: 08/10/94
First date of symptoms: 12/18/21
Date of positive test: 12/20/21
Dates clear to travel: 12/28/21-03/18/22

To Whom It May Concern,

The above patient is currently asymptomatic and has satisfied the appropriate
isolation period. They may travel as of the clearance date noted above or any day
thereafter for a period of 3 months, if they remain without COVID-19 related
symptoms or fever, as per COVID-19 guidelines, without need for additional testing.

Best Regards,

Victor Tarsia, MD
Access Medical Associates, PLLC
NPI: 1578508677

Documentation provided by Access Medical Associates, PLLC