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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
. why not? ONO ONO Acbon taken on the above date by the Segregation Review Official or the Reviewing Authority. O Released torn Specie! Housing; El Continue in Special Housing Did inmate In AdmiNstrathe Detention meow a written copy of staffs decision and tne basis for the finding at each 30 day review?
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
. why not? ONG ONO Acbon token on the above date by the Segregation Review Official or the Reviewing Authority: O Released torn Specie! Housing; El Continue in Special Housing Die inmate In AdmiNstrative Detention receive a *Mien copy of decision and me basis for the finding at each 30 day review? g y
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
why not? O No ONO Action liken on the above data by the Segregation ReNew Official or the Reviewing Authority: O Released torn Special Housing; El Continue In Special Housing Did inmate In AdmINstrathe Detention receive a written copy Of staffs decision and me basis for the finding at each 30 day review
Entities connected to both Medical Stall and El Continue
Next Review
ORGANIZATION
Julie K. Brown
PERSONMedical Staff
ORGANIZATIONSpecial Housing Unit
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATIONSpecial Housing Review Form
ORGANIZATIONLeon Black
PERSONthe Reviewing Authority
ORGANIZATIONUNT MGR
ORGANIZATIONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONNYM-NEW YORK MCC
ORGANIZATIONPGM REVIEW
ORGANIZATIONCopy - Operation Supervisor
ORGANIZATIONR. PROTO
ORGANIZATIONOHO Report
ORGANIZATIONSHU Review
ORGANIZATIONActon Taken
LOCATIONCorrectional Supervisors
ORGANIZATIONPagelofl
PERSONCopy - Unit
ORGANIZATION