3
Shared Docs
3
Same-Page
3 / 3
Mentions
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
en 0 Yes O No Has received protected 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; if no. why not? Is there a written psychiatrk or psythobgical assessment on the inmate who has sped 30
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
rden 0 Yet K No Has 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 da
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
y Warden 0 Yet O No Has receNed pretested weekly exercise: El yes, K No Proper documentation and exaltation In the Central FSe (Incident Report. OHO Report. copies of Special Housing Review Form) Yes; no. why not? Is there a written psychlatrk or psychobgical assessment on the inmate who lea spent 30
Entities connected to both Medical Stall and OHO Report
Special Housing Unit
ORGANIZATIONNext Review
ORGANIZATIONSpecial Housing Review Form
ORGANIZATIONthe Reviewing Authority
ORGANIZATIONLeon Black
PERSONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATIONUNT MGR
ORGANIZATION
Julie K. Brown
PERSONNYM-NEW YORK MCC
ORGANIZATIONPGM REVIEW
ORGANIZATIONCopy - Operation Supervisor
ORGANIZATIONR. PROTO
ORGANIZATIONMedical Staff
ORGANIZATIONEl Continue
ORGANIZATIONCARE1-MENTAL
ORGANIZATIONNYM MED DY ST
ORGANIZATIONSHU Review
ORGANIZATIONPagelofl
PERSONCopy - Unit
ORGANIZATION