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Exp. Date: ------ football basketball stationary equipment other: Exp.Da~: _____ _ May have the following ectuipinent in his/ her possession: Work Restriction / Limitation: Cleared for Food Service: Yes ---- x No Restrictions Comments: N/A f b:(6); (b)(7)(C) IMLP 07/09/2019 Health Services Staff Date Inmate Na

ronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Frequency One Time Details Frequency End Date General Radiology-Chest-2 Views One Time Specific reason(s) for request (Complaints and findings): Reg#: D Facility: Unit: Due Date 08/05/2019 00:00 Due Pate 07/25/2019 00

session: Equipment Start D.:\te End Date Return Date C-Pap 07/30i2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P1 1312813B1 ED. Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N/A r )(6); (b)[7)(C) 07/30/2019 Health Services Staff Date Inmate Name: __ E_

New Radiology Request Orders: Frequency One Time Details Frequency End Date Due Date 08/05/2019 00:00 Due Date 07/25/2019 00:00 Due Date General Radiology-Chest-2 Views One Time 07/25/2019 Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. Copay Requ

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 Health Services Staff rb)(6); (b)(7)(C) 07/30/2019 Date Inmate Name: __ E_

rders: Frequency One Time Details Frequency End Date Reg#: Facility: Unit: Due Date 08/05/2019 00:00 Due Date 07/25/2019 00:00 Due Date General Radiology-Chest-2 Views One Time 07/25/2019 Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. Copay Requ