EFTA00073848¶
| Date Initiated Format | Handout/Topic | Provider | Outcome | |
|---|---|---|---|---|
| Copay Required: No | Cosign Required: Yes | |||
| Telephone/Verbal Order: No | ||||
| Completed by | RN 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: | M | Race: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: | M | Race: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¶