EFTA00059504

Bureau of Prisons
Health Services
Cosign/Review

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Sex: M
Encounter Date: 07/28/2019 08:51
Provider: RN
Reg #: 76318-054
Race: WHITE
Facility: NYM

Cosigned by MD on 07/28/2019 20:51.

# Bureau of Prisons
Health Services
Clinical Encounter - Administrative Note

<table><tr><td>Inmate Name:</td><td colspan="4">EPSTEIN, JEFFREY EDWARD</td><td>Reg #:</td><td>76318-054</td></tr><tr><td>Date of Birth:</td><td>01/20/1953</td><td>Sex:</td><td>M</td><td>Race:WHITE</td><td>Facility:</td><td>NYM</td></tr><tr><td>Note Date:</td><td>07/26/2019 08:57</td><td>Provider:</td><td></td><td></td><td>Unit:</td><td>H01</td></tr></table>

Cosign Note - Clinical Encounter Cosign encounter performed at Health Services.

Administrative Notes:

ADMINISTRATIVE NOTE 1 Provider: MD

THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM

2 NIGHTS AGO.

New Medication Orders:

# New Medication Orders:

**Rx#** &nbsp;&nbsp;&nbsp;&nbsp; **Medication**

&nbsp;&nbsp;



Order Date

07/26/2019 08:57



Indication: Constipation, unspecified

Prescriber Order



TAKE ONE 100 MG CAP Orally

- Two Times a Day x 180 day(s)



Copay Required: No

Cosign Required: No

Telephone/Verbal Order: No

Completed by MD on 07/26/2019 08:58

Generated 07/26/2019 08:58 by

MD

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Bureau of Prisons - NYM