Epstein Secrets

ITE Provider: r b)(6); (b){?)(C) I Dental Asst Reg#: Facility: Unit: 76318-054 NYM 205 Comments: Patient has had several call outs for his Dental A & 0 screening but has not been escorted to the dental clinic. Cosign Required: No Completed b~""(b.,.,, >(5,.,... >: .,,.., (b>""' (7,..,.,)(c,.,...)--

:59 NYM 122160- NYM Insulin Reg (10 ML) 100 UNITS/ML lnj Providers:j<bl(G); (b)(?)cc; I Time PRN PRN Documentation Codes: ORD = Order I NI = Dose Not Indicated Medication Administration Record JULY 2019 1 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 .. YJ

WHITE Provider: rb)(6); (b)(7)(C) I Dental Asst Reg#: Facility: Unit: 76318-054 NYM Z05 Comments: Patient has had several call outs for his Dental A & 0 screening but has not been escorted to the dental clinic. Cosign Required: No Completed by~~b~)(6~);=(b~)(7=)(~C)-~IDental Asst on 07/19/2019 13:49

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

nita Dental Asst Unit Z05 Screening encounter at Dental Clinic. Reason Not Done: Unavailable Comments: Patient has had several call outs for his Dental A & 0 screening but has not been escorted to dental clinic. Cosign Required: No Completed by DeBruce, Juanita Dental Asst on 07/19/2019 13:49. Generate

days ~NU (8.87/19 8~- 0959 NYM 122160- NYM lose La Reg (10 114)100 UNITS/ML Ln( PF84 -PfovIdersn-YJ = Documentation Codes: ORD = Order I NI = Dose Not Indicated Regclrabon ft 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 0120/53 Kopod information is arrant as of IRS dato end free of printing: 08/100