All American Home Health, Inc. Page: 1 Intake Referral Report From: 01/01/1999 To:05/16/1999 Today`s date: 05/16/1999 Referrals for Payor :Blue Cross of California Medicare Intake App`d Patient Number Date App. Status By ---------------------------- --------------- ---------- ------------ ---- Dow, John MD Smith, Sam 036-94-0550 01/26/1998 Approved SW Jackson Adams , MD Stanley, Sam 564-24-5326AB 04/10/1998 Approved SW