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/09/2019 12:35 Provider: Joaquin, Y. MLP Reg 76318.054 Facility: NYM Unit: H01 Reflexes: Right L2ft Biceps: Patellar: Brachioradialis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia:
ssession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Beaudouin, Robert MD 07/30/2019 Health Services Staff Date Inmate Name: EPST
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:
jogging _walking _softball _football _basketball _handball _stationary equipment other: May have the following equipment in his / her possession: Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Health Services Staff Joaquin, Y. MLP Inmate Name: EPSTEIN, JEFFREY EDWARD ALL
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:
jogging _walking _softball _football _basketball _handball _stationary equipment other: May have the following equipment in his / her possession: Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Health Services Staff Joaquin, Y. MLP Inmate Name: EPSTEIN, JEFFREY EDWARD ALL
Date: 07/09/2019 12:35 Provider: HITE Reg #: 76318-054 Facility: NYM Unit: H01 Reflexes: Bight Lan Biceps: Patellar: Brachioradialis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia:
Exp. Date: _football _basketball _handball _stationary equipment — other: Exp. Date: May have the following equipment in his / her possession: Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A 07/09/2019 Health Services Staff Date Inmate Name: EPSTEIN, JEFFREY EDWARD R
7/09/2019 12:35 Provider M R : WHITE Reg #: 76318-054 Facility: NYM Unit: H01 Reflexes: Right 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:
nt Start C ite End Date Return Date C-Pap 07 ni 19 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Page 082 of 148 Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Withheld pursuant to exemption (b)(6) (b)(7)(A) (b)(7)(C) of the Freedom of Info
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:
Exp. Date: ------ football basketball stationary equipment other: Exp.Da~: _____ _ May have the following ectuipinent in his/ her possession: Work Restriction / Limitation: Cleared for Food Service: Yes ---- x No Restrictions Comments: N/A f b:(6); (b)(7)(C) IMLP 07/09/2019 Health Services Staff Date Inmate Na
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:
session: Equipment Start D.:\te End Date Return Date C-Pap 07/30i2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P1 1312813B1 ED. Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N/A r )(6); (b)[7)(C) 07/30/2019 Health Services Staff Date Inmate Name: __ E_
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:
possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N/A Health Services Staff rb)(6); (b)(7)(C) 07/30/2019 Date Inmate Name: __ E_
Date: 07/09/2019 12:35 Provider: MLP Reg #: 76318-054 Facility: NYM Unit: H01 Reflexes: Right Left Biceps: Patellar: Brachloradialls: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia:
equipment in his / her possession: Equipment Start Date C-Pap 07/30,2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Beaudouin, Robert MD Health Services Staff Date End Date Return Date 07/30/20
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