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Date: 07/09/2019 12:35 Provider. MLP Reg #: 76318-054 Facility: NYM Unit: H01 Reflexes: Right Left Biceps: Patellar: Brachioradialis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia:
Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number: 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Name/Title of Person Completing Form: RN
07/09/2019 12:35 Provider: Joaquin, Y. MLP Reg #: 76318-054 Facility: NYM Unit: H01 Reflexes: Ri ght Biceps: Patellar: Brachioradialls: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia:
y Dispensings: 21 tab in 1 day Generated 07/30/2019 15:33 by Aassiddaa, Joy FOIA Bureau of Prisons - NYM Page 1 of 2 EFTA00045568 Complex: NYM--NEW YORK MCC Begin Date: 07/02/2019 Inmate: EPSTEIN, JEFFREY Reg #: 76318-054 End Date: 07/30/2019 Quarter: Z04-206LAD Active Prescriptions Omega 3 (Vas
M Race: WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider. a MLP Unit: Reflexes: flight ken Biceps: Patellar: Brachioradialis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia:
Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number. 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Namerfltle of Person Completing Form:
TEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Reflexes: Biceps: Patellar: Brachioradlalis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia:
lowing my expressed wishes and directions. ,b){6); (b)(7}(C) 7-24-2019 Counseled by Date t'sSig~ Date (b)(6); (b)(7)(C) 1 nature of Wi NYM--NEW YORK MCC (b){6); (b)(7)(C) Page 2501 I BP•A0618 JUN 16 A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE 5: ' 2
TEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Reflexes: Biceps: Patellar: Brachioradialis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia:
following my expressed wishes and directions . . b)(6); (b)(7)(C) r )(6); (b)(7)(C) 7-24-2019 Counseled by Date Date (b)(6); (b)(? )(C) NYM--NEW YORK MCC ~/r~ '----------------
Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Reflexes: Biceps: Patellar: Brachioradialis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia:
Pharmacy Dispensings: 21 tab in 286 days Generated 05/ 11/2020 09:57 bf b)(6); (b)(7)(C) IOGC Bureau of Prisons - DAN Page 1 of 2 Complex: NYM--NEW YORK MCC Begin Date: 07/06/2019 Inmate: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Active Prescriptions Omega 3 (Vascepa) 1 GM Capsule Take two capsules
3 Sex: M Race: WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider. Unit: Reflexes: flight ken Biceps: Patellar: Brachioradialis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia:
Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number. 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Namerfitle of Person Completing Form:
Sex: M Race: WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider. Unit: 1 Reflexes: Bight knit Biceps: Patellar: Brachioradialis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia:
Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number. 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Namerfltle of Person Completing Form:
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ORGANIZATIONVascepa
ORGANIZATIONSpecial Housing Unit
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