3
Shared Docs
3
Same-Page
3 / 3
Mentions
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
(2 Or 3 Days) 3 Day Review Action Taken on the Above Date Continue In Special Housing Unit Date Reviewed 07.19.2019 Pelted Name/Signature -St IL RECORD REVIEW. (To be done weekly in U'- absence, beginning after the in.person 7 day review. and continuing every week between each in-person 30 day review.) D
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
or 3 Days) 3 Day Review Acton Taken on ine AbOve Date: Continue In Special Housing Unit Printed Name/Signature: =MEI Date Reviewed 07.19.2019 IL RECORD REVIEW. (To be done weekly in the inmate's absence, beginning after the in.person 7 day review. and continuing every week between each in-person 30 day rev
as received prescnbed weekly exercise: O Yes: O No Proper doCuMentation and iuStification in the Central Fie (InteleM Report. OHO Reprt. copies 01 Special Housing Review Form): K Yes; O No d no. why not? Is Mere a written psychiatric or psychological assessment on the inmate who has spent 33 days in a special housing s
L (2 or 3 Days) 3 Day Review Action Taken on um Above Deb: Continue In Special Housing Unit mead NameisIgnalaret Data Ftedavrad 07-19-2019 IL RECORD REVIEW. (To be done wedge? M the train's abloom% begin:AM° after the N-omen 7 day review. and conertuing every week between each in-person 30 day antaw.)
Entities connected to both Special Housing Review Form and IL RECORD REVIEW
Next Review
ORGANIZATIONLeon Black
PERSONSpecial Housing Unit
ORGANIZATIONthe Reviewing Authority
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATIONthe Segregation Review
ORGANIZATION
Julie K. Brown
PERSONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONR. PROTO
ORGANIZATIONNYM-NEW YORK MCC
ORGANIZATIONPGM REVIEW
ORGANIZATIONActon Taken
LOCATIONOHO Report
ORGANIZATIONUNT MGR
ORGANIZATIONMedical Staff
ORGANIZATIONCopy - Operation Supervisor
ORGANIZATIONSHU Review
ORGANIZATIONEl Continue
ORGANIZATIONNYM CALLOUTS
PERSONPGMS NR
ORGANIZATION