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g Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Completed by Joaquin, Y. MLP on 07/23/2019 09:05 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/23/2019 09:05 by Joaquin, Y. MLP Bureau of Prisons - NYM P
macy Dispensings: 10 TAB in 22 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) by mouth twice daily for 30 days Rx#: 121823-NYM Doctor: Beaudouin, Robert MD Start: 07/12/19 Exp: 08/11/19 Pharmacy Dlspensings: 60 CAP in 19 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) twice dail
ent Referred to Sick Call: Radiographs authorized: PM: Prophylaxis authorized: Yes 1 No (Approval valid 18 months from examination date) BWs: Panorer. Pagan Name:, S -1-C4 -3 —Cc-PR.-ti E n Dentist Signature: 0 - L1-44014LAA.4— >DS st r Number. f -7(, 31Se- USN Institution: / MCC NEW YORK
-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Facility: NYM Cosigned by Beaudouin, Robert MD on 07/14/2019 18:12. Bureau of Prisons • NYM EFTA00049635 BP-5358.C60 SEP 05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JU
nt Referred to Sick Call: Radiographs authorized: PM: Prophylaxis authorized: Yes I No (Approve; valid 18 months from examination date) EtWs: Panorer ;Pa ' nt Name: 7 s ---C4 . n i i e_ciVi*e_i f S Denfist Signature: 11 > DS gistli :rfitumber. 76 3 i e- Us-1/4i Institution: / MCC NEW YOR
. Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Completed by Joaquin, Y. MLP on 07/09/2019 13:03 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM P
ent Referred to Sick Call: Radiographs authorized: PM: Prophylaxis authorized: Yes 1 No (Approval valid 18 months from examination date) BWs: Panorer. Pagan Name:, S -1-C4 -3 —Cc-PR.-ti E n Dentist Signature: 0 - L1-44014LAA.4— >DS st r Number. f -7(, 31Se- USN Institution: / MCC NEW YORK
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Jeffrey Epstein
PERSONRobert MD
PERSONSpecial Housing Unit
ORGANIZATIONHealth Services
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Ghislaine Maxwell
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ORGANIZATIONVascepa
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PERSONFederal Bureau of Prisons
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