Epstein Secrets

Exp. Dale: Exp. Date: Exp. Date: Exp.. Date: Exp. Date: nrilartiletriailiTtheiii3Oataiiiiiii:Ilii ,77:; .- • Start Date End Date 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. !fla;:a-)ciaetaitat7 - Cleared for Food Service: Yes • No Restrictions Comments: N/A MD 07/3

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ketball _handball _stationary equipment other: Equipment May have the following equipment In his / her possession: Start Date C-Pap 07/30/249 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. .%i% SERIAL #: P11312813B1ED. Work Restriction I Cleared for Food Service: Yes X No Restrictions Comments: N/A Beaudou

sliding scale: each morning for 7 days —pill line"' 'WWII Deg (10 ML) 100 UNITSML In PAN Providers: YJ - Documentation Codes: ORD = Order I NI = Dose Not Indicated Registration N: 76318-054 Pt. Name: EPSTEIN. JEFFREY DOB: 01/20/53 Report information is current as of the date and time of printing: 0

ap. Date: Exp. Date: May have the following equipment in his / her possession: Equipment Start C ite End Date Return Date C-Pap 07 ni 19 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Page 082 of 148 Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions

t to exemption (b)(6) ; (b)(7)(A) : (b)(7)(C) of the Freedom of Information and Privacy Act Providers: YJ Documentation Codes: ORD = Order I NI = Dose Not Indicated Registration F. 76318-054 Pt. Name: EPSTEIN. JEFFREY DOB: 01/20153 Report information is current as of the date and time of printing: 0

other: Exp. Date: ------ May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N/A

or 7 days •••pm line•- Insulin Reg {10 ML) 100 UNITS/ML lnj Providersl b)(6); (b)(7)(C) I Time PRN PRN Documentation Codes: ORD = Order I NI = Dose Not Indicated Medication Administration Record JULY 2019 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 NI YJ Re

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