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nic Care Clinics-Diabetic-Hemoglobin A1C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Dela Frequency endlUate General Radiology-Chest-2 Views One Time Specific reason(s) for request (Complaints and findings): 66
lease the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. ESGUERRA, S. X-RAY 7-10-2019 atier Counseled by Date P ature Date Signature of Witness Date NYI3/41-NEINYORK MCC EFTA00049322 BP.S358.060 MEDICAL TREATMEN
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ic Care Clinics-Diabetic-Hemoglobin Al C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Details Frequency End Date Due Date Priority General Radiology-Chest-2 Views One Time 07/25/2019 Routine Specific reason(s)
lease the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. ESGUERRA, S. X-RAY 7-10-2019 Counseled by Date Patien Signature Signature of Witness Date NYM-NEW YORK MCC Date EFTA00045625 Medical Records request Tor Inm
2 mentions1 same-page
Page ?Same page
ic Care Clinics-Diabetic-Hemoglobin Al C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Details Frequency End Date Due Date Priority General Radiology-Chest-2 Views One Time 07/25/2019 Routine Specific reason(s)
lease the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. ESGUERRA, S. X-RAY 7-10-2019 Counseled by Date Patien Signature Signature of Witness Date NYM-NEW YORK MCC Date EFTA00045711 Medical Records request Tor Inm
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