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ESP-UNASSIGNED 08-01-2018 1718 NYM LEVEL UNASSG UNASSIGNED 08-01-2018 1718 NYM MED DY ST NOT MED CL NOT MEDICALLY CLEARED 08-01-2018 1718 NYM PGM REVIEW OCT OCTOBER PROGRAM REVIEW 10-29-2019 1043 NYM QUARTERS G12-792L HOUSE G/RANGE 12/BED 792L 11-23-2018 1001 NYM RELIGION UNKNOWN RELIGION UNK
a Special Housing Review: REMARKS Review By (SRO): SIGNATURE Reviewing Authority: Or Dale inmate waived right to appear. Has been seen daily by Medical Stall. O Yes: O No Has been seen daily by responsible officer designated by Warden: O yes: O No Has received prescribed weekly exorcise: K Yot O No
NYM CMC NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM CASEWORKER CUSTODY DRUG PGMS EDUC INFO FIN RESP LEVEL MED DY ST PGM REVIEW QUARTERS RELIGION SECOND RSP UNIT WAITNG LST WRK DETAIL FAX: REG FUNCTION: PRT DOB/AGE.: R/IrETH.: MILEAGE.: 03-10-1969 / 50 W/M/H WALS
Special Housing Review: REMARKS Review fly (SRO): SIGNATURE Reviewing Authority: Or Dale inmate warted right to appear': Has been seen daily by Medical Stall. K Yes; K No Has been seen daily by timpani/le officer designated by Warden: K Yes: K NO Has receMid prescribed weekly exercise: K Yes: K No
ESP-UNASSIGNED 08-01-2018 1718 NYM LEVEL UNASSG UNASSIGNED 08-01-2018 1718 NYM MED DY ST NOT MED CL NOT MEDICALLY CLEARED 08-01-2018 1718 NYM PGM REVIEW OCT OCTOBER PROGRAM REVIEW 10-29-2019 1043 NYM QUARTERS G12-792L HOUSE G/RANGE 12/BED 792L 11-23-2018 1001 NYM RELIGION UNKNOWN RELIGION UNK
w By (SRO): Reviewing Authority: Date inmate appeared for a Special Housing Review; Or Date inmate waived right to appear: Has been seen daily by Medical Stall. K Yes: K No Has teen seen daily W response. officer designated by Warden: K Y0E K No Has received presented weekly exercise: K Yea: K No Pro
Entities connected to both PGM REVIEW and Medical Stall
UNT MGR
ORGANIZATIONNYM-NEW YORK MCC
ORGANIZATIONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONR/S/ETH
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATIONCARE1-MENTAL
ORGANIZATIONSpecial Housing Unit
ORGANIZATIONNYM MED DY ST
ORGANIZATIONLeon Black
PERSONR. PROTO
ORGANIZATION
Julie K. Brown
PERSONSpecial Housing Review Form
ORGANIZATIONthe Reviewing Authority
ORGANIZATIONNext Review
ORGANIZATIONCHRONO
ORGANIZATIONCopy - Operation Supervisor
ORGANIZATIONHOUSE G/RANGE
ORGANIZATIONPGMS NR
ORGANIZATIONOHO Report
ORGANIZATIONMedical Staff
ORGANIZATION