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/2019 22:41. Burew W ftilscm - WM EFTA00059443 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Healt
Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: MLP Facility: N
NYM EFTA00059496 BP-S358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP C6 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24.2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY
ain Fxam Comments Follow up evaluation done for inmate Epstein. He does not look in any pain or distress. He s
h Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/
. ASSESSMENT: Alteration in comfort PLAN: Disposition: Follow-up at Sick Call as Needed Notify Medical Duty Officer Patient Education Topics: Pate Initiated format Handout/Tonic 07/28/2019 Counseling Plan of Care Generated 07/28/2019 07:22 by RN Bureau of Prisons • NYM Outcome Verbalizes Underst
/2019 22:41. Burew W ftilscm - WM EFTA00105006 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Healt
Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Race: WHITE Reg #: 76318-054 Facility: NYM Unit:
NYM EFTA00105055 BP-S358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP CS U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24.2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY
ain Fxam Comments Follow up evaluation done for inmate Epstein. He does not look In any pain or distress. He s
Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encount
Birth: 01/20/1953 Sex: Facility: NYM Encounter Date: 07/28/2019 20:25 Provider. Unit H01 Forow-up in 12-24 Hours Patient Education Topics: Pate Initiated. Format Handout/Topic Outcome 07/28/2019 Counseling Plan of Care Verbalizes Understanding Copay Required:No Cosign Required: Yes TelephoneN
Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/24/2019 13:08 Provider. MLP
ain Exam Comments Follow up evaluation done for inmate Epstein. He does not look in any pain or distress. He s
rvices Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/
ace: WHITE Facility: NYM Encounter Date: 07/24/2019 13:08 Provider: MLP Unit: H01 Follow-up at Sick Call as Needed Patient Education Topics: Pate Initiated format Handout/Topic 07/24/2019 Counseling Access to Care 07/24/2019 Counseling Preventive Health Copay Required:No Cosign Required: Yes Te
Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/24/2019 13:08 Provider. Uni
ain Exam Comments Follow up evaluation done for inmate Epstein. He does not look in any pain or distress. He s
rvices Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/
M Race: WHITE Facility: NYM Encounter Date: 07/24/2019 13:08 Provider: Unit: H01 Follow-up at Sick Call as Needed Patient Education Topics: Pate Initiated format 07/24/2019 Counseling 07/24/2019 Counseling Copay Required:No TelephoneNerbal Order: No Completed by on 07/24/2019 13:24 Requested to
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