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-Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number: 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Name/Tale of Person Completing Form: Col
emoglobin 15.6 13.6-17.6 g/dL Hematocrit 47.8 40.2-51.4 ok MCV 88.2 82.5-96.5 IL MCH 28.8 27.1-34.9 PO MCHC L 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 ok Platelet 338 130-374 KJul FLAG LEGEND La-Low LI=Low Critical H=High HI=HIgh Critical A=Abnormal Al =Abnormal Critical Page
y Dispensings: 21 tab in 1 day Generated 07/30/2019 15:33 by Aassiddaa, Joy FOIA Bureau of Prisons - NYM Page 1 of 2 EFTA00045568 Complex: NYM--NEW YORK MCC Begin Date: 07/02/2019 Inmate: EPSTEIN, JEFFREY Reg #: 76318-054 End Date: 07/30/2019 Quarter: Z04-206LAD Active Prescriptions Omega 3 (Vas
Hemoglobin 15.6 13.6-17.6 g/dL Hematocrit 47.8 40.2-51.4 MCV 88.2 82.5-96.5 fL MCH 28.8 27.1-34.9 Pg MCHC L 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 Platelet 338 130-374 K/uL FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 1
g my expressed wishes and directions. MD 7-24-2019 Counseled by Date Patient's Sign Date ElMille! t 4 Si nature of VVitne j fe ," r NYM--NEW YORK MCC f/re-cie- EFTA00048526 BP-5353.0€0 Sit, C5 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 D
Hemoglobin 15.6 13.6-17.6 g/dL Hematocrit 47.8 40.2-51.4 MCV 88.2 82.5-96.5 fL MCH 28.8 27.1-34.9 Pg MCHC L 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 Platelet 338 130-374 K/uL FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 1
of Prisons and Its employees from any and all liability for respecting and following my expressed wishes and directions. ID 7-24-2019 Date NYM--NEW YORK MCC 7re-cie- EFTA00073976 BP-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL. BUREAU OF
Hemoglobin 15.6 13.6-17.6 g/dL Hematocrit 47.8 40.2-51.4 MCV 88.2 82.5-96.5 fL MCH 28.8 27.1-34.9 Pg MCHC L 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 Platelet 338 130-374 K/uL FLAG LEGEND L=Low LI=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 1
Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number. 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Namerfltle of Person Completing Form:
g/dL mg/dL mg/dL mg/dL U/L U/L U/L mg/dL g/dL g/dL g/dL mg/dL mg/dL HEMATOLOGY WBC NRBC% RBC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet L 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 4.3-11.1 4.46-5.78 13.6-17.6 40.2-51.4 82.5-96.5 27.1-34.9 33.0-37.0 12
following my expressed wishes and directions . . b)(6); (b)(7)(C) r )(6); (b)(7)(C) 7-24-2019 Counseled by Date Date (b)(6); (b)(? )(C) NYM--NEW YORK MCC ~/r~ '----------------
Therefore the LDL is not calculated. HDL Cholesterol L 31 40-60 mg/dl Chol/HDL Ratio WBC NRBC¾ RSC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet FLAG LEGEND H L 6.9 HEMATOLOGY 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 0.0-4.0 4.3-11.1 4.46-5.78 13.6-17.6 40.2
Pharmacy Dispensings: 21 tab in 286 days Generated 05/ 11/2020 09:57 bf b)(6); (b)(7)(C) IOGC Bureau of Prisons - DAN Page 1 of 2 Complex: NYM--NEW YORK MCC Begin Date: 07/06/2019 Inmate: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Active Prescriptions Omega 3 (Vascepa) 1 GM Capsule Take two capsules
Therefore the LDL is not calculated. HDL Cholesterol L 31 40-60 mg/dl Chol/HDL Ratio WBC NRBC¾ RSC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet FLAG LEGEND H L 6.9 HEMATOLOGY 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 0.0-4.0 4.3-11.1 4.46-5.78 13.6-17.6 40.2
Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number. 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Namerfitle of Person Completing Form:
g/dL mg/dL mg/dL mg/dL U/L U/L U/L mg/dL g/dL g/dL g/dL mg/dL mg/dL HEMATOLOGY WBC NRBC% RBC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet L 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 4.3-11.1 4.46-5.78 13.6-17.6 40.2-51.4 82.5-96.5 27.1-34.9 33.0-37.0 12
Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number. 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Namerfltle of Person Completing Form:
g/dL mg/dL mg/dL mg/dL U/L U/L U/L mg/dL g/dL g/dL g/dL mg/dL mg/dL HEMATOLOGY WBC NRBC% RBC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet L 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 4.3-11.1 4.46-5.78 13.6-17.6 40.2-51.4 82.5-96.5 27.1-34.9 33.0-37.0 12
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