Epstein Secrets

s received prescribed weekly exorcise: K Yot O No Proper documentation and justification in the Central File (Incident Report. OHO Radon, copies of Special Housing Review Form): O Yes: O No if no, why not? Is there a written psychiatric or psychological assessment on ale inmate who has spent 30 days in a special housing

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

s received presented weekly exercise El Yes, K No Proper documentation and justification In the Central Fee (Incident Report. OHO Report copies of Special Housing Review Form) Yes; no, why not? Is there a written psythiatC or psychobgical assessment on the inmate who lea spent 30 days in e special hewing Status? 0 Yes

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

s received presented weekly exercise: K Yea: K No Proper documentation and Justification in the Centel File (Incident Report. OW Report, copies of Special Housing Review Form): Yes: K No if no. why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housmg st

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