EFTA00073904¶
Bureau of Prisons¶
Health Services Modified Diet Request¶
Types of Diets:¶
___ Clear Liquid Exp Date: ___ Low Fat Exp Date: ___ Mechanical Soft Exp Date: ___ Low Cholesterol Exp Date: ___ Low Triglyceride Exp Date: ___ Renal Exp Date: ___ Full Liquid Exp Date: ___ Sodium Controlled Exp Date: ___ Snack Exp Date: ___ Diabetic Exp Date: ___ Calorie Controlled Exp Date:¶
X Other: FISH ALLERGIES. Exp Date: 07/30/2020¶
Comments:¶
Page 074 of 148¶
Withheld pursuant to exemption¶
of the Freedom of Information and Privacy Act¶
Reg#¶
| 07/30/2019 |
| Date |
Generated 07/30/2019 14:57 by¶
Bureau of Prisons - NYM¶
Page 1 of 1¶