Epstein Secrets

Mseestbs olllo& designated by Wanien: Yes: K No Has received pniscrlbed wacky exerdea: III Yes; 0 No Proper dccurnentailon and lasliffltdon in the Central File (Incident Report, DHO Repel. copies of Societal /boatel Ftevkair Farm)* yes: 0 No d no, wily man Ls them a wragen gibe/4Mo cc psych/Nogg' esaemment on the Crenate

s there an additional assessment for every cne month interval thereafter? O Yes. O No dn.. why not? O Yes O No Acton taken on the above date by the Segregation Review ()Moat or the Reviewing Authority: K Re:eased from Special Housing. O Continue in Special Reusing Did inmate in Administrative Detention receive a

ponsible officer designated by Warden: O Yes D No Has received prescribed weekly exercise: D Yes: K No Proper documentation and justification in the Central File (Incident Report, DHO Report, copes of Special Housing Review Form): O Yes; O No if no. why not? Is there a written psychiatric or psychological assessment on the

s, K No Is there an additional assessment for every one month interval thereafter? O Yes; O No if no. why not? Action taken on the above dale by the Segregation Review Official or the Reviewing Authority O Released from Special Housing; K Continue in Special Housing Did Inmate in Administrative Detention receive

ible officer designated by Warden: ~ Yes; O No Has received prescribed weekly exercise: ~ Yes; D No Proper documentation and justification in the Central File (Incident Report, OHO Report, copies of Sp~ial Housing Review Form): if no, why not? I Is there a written psychiatric or psychological assessment on the inmate who

; O No Is there an additional assessment for every one month interval thereafter? ~ Yes; 0 No if no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: D Released from Special Housing; ~ Continue In Special Housing Old inmate In Administrative Detention receive

ible officer designated by Warden: ~ Yes; O No Has received prescribed weekly exercise: ~ Yes; D No Proper documentation and justification in the Central File (Incident Report, OHO Report, copies of Sp~ial Housing Review Form): if no, why not? I Is there a written psychiatric or psychological assessment on the inmate who

; O No Is there an additional assessment for every one month interval thereafter? ~ Yes; 0 No if no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: D Released from Special Housing: ~ Continue In Special Housing Old inmate In Administrative Detention receive