EFTA00073848
Date Initiated FormatHandout/TopicProviderOutcome
Copay Required: NoCosign Required: Yes
Telephone/Verbal Order: No
Completed byRN on 07/28/2019 07:22
Requested to be cosigned by
Cosign documentation will be displayed on the following page.
Page 018 of 148 Withheld pursuant to exemption (b)(6) ; (b)(7)(A) ; (b)(7)(C) Freedom of Information and Privacy Act Generated 07/28/2019 07:22 by Page 3 of 3 RN Bureau of Prisons - NYM EFTA00073849 # Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Provider: Encounter Date: 07/28/2019 06:51 Cosigned by Page 019 of 148 Withheld pursuant to exemption (b)(6) ; (b)(7)(A) ; (b)(7)(C) freedom of Information and Privacy Act of the Freedom of Information and Privacy Act Bureau of Prisons - NYM EFTA00073850 # Bureau of Prisons Health Services Clinical Encounter - Administrative Note
Inmate Name:EPSTEIN, JEFFREY EDWARD
Date of Birth:01/20/1953
Note Date:07/26/2019 08:57
Race:WHITE Sex: Provider:
Reg #:76318-054
Facility:NYM
Unit:H01
Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. New Medication Orders:
Rx#Medication
Docusate Sodium Capsule
Order Date
07/26/2019 08:57
# Prescriber Order TAKE ONE 100 MG CAP Orally - Two Times a Day x 180 day(s) Indication: Constipation, unspecified Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by on 07/26/2019 08:58 Page 020 of 148 Withheld pursuant to exemption (b)(6) ; (b)(7)(A) ; (b)(7)(C) of the Freedom of Information and Privacy Act Generated 07/26/2019 08:58 by Page 1 of 1 Bureau of Prisons - NYM EFTA00073851 # Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 | Reg #: | 76318-054 | | :--- | :--- | This is a simple Markdown document with no headings or paragraphs. It contains two lines of text, separated by a space. The first line reads "Reg #:", and the second line reads "76318-054".
Sex:MRace:WHITE
Provider:
Note Date: 07/24/2019 16:10
Facility:NYM
Unit:H01
Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by n MD on 07/24/2019 16:12 Page 021 of 148 Withheld pursuant to exemption (b) (6) ; (b)(7)(A) ; (b)(7)(C) of the Freedom of Information and Privacy Act Generated 07/24/2019 16:12 by Page 1 of 1 Bureau of Prisons - NYM EFTA00073852 # Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 | Reg #: | 76318-054 | | :--- | :--- | This is a simple Markdown document with no headings or paragraphs. It contains two lines of text, separated by a space. The first line reads "Reg #:", and the second line reads "76318-054".
Sex:MRace:WHITE
Provider:
Note Date: 07/24/2019 16:10
Facility:NYM
Unit:H01
Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by n MD on 07/24/2019 16:12 Page 022 of 148 Withheld pursuant to exemption (b) (6) ; (b)(7)(A) ; (b)(7)(C) of the Freedom of Information and Privacy Act Generated 07/24/2019 16:12 by Page 1 of 1 Bureau of Prisons - NYM