EFTA00110367

# 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 |

| | |
| :--- | :--- |
| Sex: | M Race:WHITE |
| Provider: | MD |
| Reg #: | 76318-054 |
| Facility: | NYM |
| Unit: | H01 |

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:

<table><thead><tr><th>Rx#</th><th>Medication</th></tr></thead><tbody><tr><td></td><td>Docusate Sodium Capsule</td></tr></tbody></table>

<table><thead><tr><th>Order Date</th></tr></thead><tbody><tr><td>07/26/2019 08:57</td></tr></tbody></table>

Prescriber Order



TAKE ONE 100 MG CAP Orally



Indication: Constipation, unspecified



- 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

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MD

Bureau of Prisons - NYM