O Arrest O Registered O Conviction O Registration Violation Form GSM.312 Rev 11/17 SDNY_GM_00 173145 EFTA_00194800 EFTA01305111 VMS"! JIM% Mudmis Service (USMS1 PRISONER MEDICAL RECORDS RELEASE FORM ; 4 14, im; vottyktoci by div ;ISMS intake Officer. Sections ii iii are to be completed by the prison