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tions, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental con Dion, and release the Buroau of Prisons and Its employees from any and all liability for respecting and following my . . .t::.:.o .•: , • II gilt • I NYM-NEW YORK MCC EFTA00050840 BP.A061
R, Swelling R No: Inflammation R, Ecchymosls R, Erythema R, Tenderness R, Laceration(s) R, AbrasiOn(s) Contusion(s) R ROS Comments Received inmate AAOX3 In no acute distress, speaking in full sentenced ambulating independently C Right arm numbness after waking up from 'steeping on my side* that has
ations, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. MD 7-24-2019 Counseled by Date Signature
, Swelling R No: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(a) Contusion(s) R ROS Comments Received inmate AAOX3 In no acute distress, speaking in full sentenced ambulating independently C/ Right ann numbness after waking up from 'sleeping on my side' that has
ations, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO 'Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. 7-24-2019 Counseled by Dale e a is Sign
, Swelling R No: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(s) Contusion(s) R ROS Comments Received inmate AAOX3 In no acute distress, speaking in full sentenced ambulating independently C/ Right &Mt numbness after waking up from 'sleeping on my side' that has
ations, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. 7-24-2019 Counseled by Date a** si .nature
, Swelling R No: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(a) Contusion(s) R ROS Comments Received inmate AAOX3 In no acute distress, speaking in full sentenced ambulating independently C/ Right arm numbness after waking up from 'sleeping on my side' that has
ations, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO 'Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. 7-24-2019 Counseled by Dale a is Sign NYM
, Swelling R No: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(s) Contusion(s) R ROS Comments Received inmate AAOX3 In no acute distress, speaking in full sentenced ambulating independently C/ Right 8/771 numbness after waking up from 'sleeping on my side' that ha
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