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mily History - Sibling: Number of Siblings: I Significant Illnesses: Comments: Past Hospitalization: Reason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Generated 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM Page 7
ed to the dental clinic. Cosign Required: No Completed by DeBruce, Juanita Dental Asst on 07/19/2019 13:49. Generated 07/19/2019 13:49 by DeBruce. Juanita Dental Bureau of Prisons • NYM Page 1 of 1 EFTA00045574 Bureau of Prisons Psychology Services General Administrative Note "SENSITIVE BUT UNCLASSIFIE
mily History - Sibling: Number of Siblings: I Significant Illnesses: Comments: Past Hospitalization: Reason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Generated 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM Page 7
ed to the dental clinic. Cosign Required: No Completed by DeBruce, Juanita Dental Asst on 07/19/2019 13:49. Generated 07/19/2019 13:49 by DeBruce. Juanita Dental Bureau of Prisons • NYM Page 1 of 1 EFTA00045806 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - C
mily History - Sibling: Number of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: Reason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Generated 07/09/2019 13:03 by MLP Bureau of Prisons • NYM SDNY_Fp29041;4i1f9
ed to the dental clinic. Cosign Required: No Completed by DeBruce, Juanita Dental Asst on 07/19/2019 13:49. Generated 07/19/2019 13:49 by DeBruce. Juanita Dental SDNY_00017443 Bureau of Prisons • NYM Page 1 of 1 EFTA00139080 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical I
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