Epstein Secrets

In the reason for placement Is to be noted m this section. If the reason for placement changes, the inmate must receive a copy of Cis form): Date of Next Review 0740-2019 Rented Name and Senature of aegis° Official or the Reviewing Authoaty and Date Signed. Record Copy • Central Ftie This form replaces B

en 0 Yes O No Has received protected weekly exercise: El Yes, K No Proper documentation and justification In the Central Fee (Incident Report. OHO Report copies of Special Housing Review Form) Yes; if no. why not? Is there a written psychiatrk or psythobgical assessment on the inmate who has sped 30

ange in the reason for placement is to be noted in this What If Me reason for placement changes, the inmate must receive a copy &this form): Date of Next Review. 07.23.2019 Printed Name and Signe Segregation Review Official ea the Reviewing Authority and Date Signed. M. I Record Copy - Central File TN'

rden 0 Yet K No Has received presented weekly exercise El Yes, K No Proper documentation and justification In the Central Fee (Incident Report. OHO Report copies of Special Housing Review Form) Yes; no, why not? Is there a written psythiatC or psychobgical assessment on the inmate who lea spent 30 da

the reason for placement is to be noted in this section. If the reason for placement changes, the inmate must receive a copy of this form): Date of Next Review. 07.23.2019 lion Review Official Or the Reviewing Authority and Date Signed. This form replaces BP-295(52) dated January 1988 Page I of 1 7/19/20

y Warden 0 Yet O No Has receNed pretested weekly exercise: El yes, K No Proper documentation and exaltation In the Central FSe (Incident Report. OHO Report. copies of Special Housing Review Form) Yes; no. why not? Is there a written psychlatrk or psychobgical assessment on the inmate who lea spent 30

the reason for placement is to be noted in this section. If the reason for placement changes, the inmate must receive a copy of this form): Date of Next Review: 07-26-2019 Printed Name and Signature of Segregatlon Review Official or the Reviewing Authority and Date Signed: (b)(6); (b)(7)(C) Record Copy -

~ Yes; O No Has received prescribed weekly exercise: ~ Yes; D No Proper documentation and justification in the Central File (Incident Report, OHO Report, copies of Sp~ial Housing Review Form): if no, why not? I Is there a written psychiatric or psychological assessment on the inmate who has spent 3

the reason for placement is to be noted in this section. If the reason for placement changes, the inmate must receive a copy of this form): Date of Next Review: 07-26-2019 Printed Name and Signature of Segregatlon Review Official or the Reviewing Authority and Date Signed: r )(6); (b)(7)(C) 1 RecOrd C0p

~ Yes; O No Has received prescribed weekly exercise: ~ Yes; D No Proper documentation and justification in the Central File (Incident Report, OHO Report, copies of Sp~ial Housing Review Form): if no, why not? I Is there a written psychiatric or psychological assessment on the inmate who has spent 3