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n, Robert MD 07/30/2019 09:30 87 Via Machine Beaudouin, Robert MD Respirations: Date Time Rate Per Minute Provider 07/30/2019 09:30 NYM 12 Beaudouin, Robert MD Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/30/2019 13:02 NYM 114/84 Left Arm Standing Beaudouin,

Provider 07/30/2019 09:30 NYM 98 Room Air Beaudouin, Robert MD Weight: Date Time Lks Kg Waist Circum Provider Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 1 of 3 EFTA00045498 Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Encounter Date: 07/30/201

YSTEM ONE CPAP MACHINE. w SERIAL #: P1131281361ED. Work Restriction I Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Beaudouin Robert MD Health Services Staff Inmate Name: EPSTEIN, JEFFREY ALL EXPIRATION DATES ARE AT 24:00 Reg #: 76318-054 Exp. Dale: Exp. Date: Exp. Date: Ex

-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

ly Prescriber Order Inject regular insulin subcutaneously per sliding scale: twice daily "'pill linen* for 7 days Generated 07/3012019 16:12 by Beaudouin Robert MD Bureau of Prisons - NYM Page 2 of 2 EFTA00049644 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN. JEFFREY EDWARD R

. 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

SYSTEM ONE CPAP MACHINE. w SERIAL #: P1131281361ED. Work Restriction I Umitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Beaudouin Robert MD Health Services Staff Inmate Name: EPSTEIN, JEFFREY ALL EXPIRATION DATES ARE AT 24:00 Reg #: 76318-054 Exp. Date: Exp. Date: Exp. Date: Ex