EFTA00073920

# Bureau of Prisons
Health Services
Dental Soap/Admin Encounter

<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>Encounter Date:</td><td>07/18/2019 13:48</td><td>Provider:</td><td colspan="2"></td><td>Dental Asst</td><td>Unit:</td><td>Z05</td></tr></table>

Screening encounter at Dental Clinic.

Reason Not Done: Unavailable

<table><tr><td>Comments:</td><td>Patient has had several call outs for his Dental A &amp; O screening but has not been escorted to the dental clinic.</td></tr><tr><td>Cosign Required:</td><td>No</td></tr></table>

Completed by

Dental Asst on 07/19/2019 13:49.

## Page 090 of 148

Withheld pursuant to exemption

(b) (6) ; (b)(7)(A) ; (b)(7)(C)

of the Freedom of Information and Privacy Act

Generated 07/19/2019 13:49 by

Dental

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Bureau of Prisons - NYM