Completed by Geteraind 07126120t9 0SS8 by Constipation, unspecified Cosign Required: No MD on 07/26/2019 08:58 Order Date 07/26/2019 08:57 MD Bursae of Pitons -NW prescriber Order TAKE ONE 100 MG CAP Orally - Two Times a Day x 180 day(s) Page I al I EFTA00050849 Bureau of Prisons Health Se

m: Date. 07/30/2019 12:01 Provider: Ille' llsyD Completed by M : PsyD on 07/30/2019 12:33 78318-054 5 Generated 02/30201012:33 by-,_ PsyD Bursae of Pelson; -NYM Page 2012 EFTA00047853 Bureau of Prisons Psychology Services General Administrative Note **SENSITIVE BUT UNCLASSIFIED•• Inmate