EFTA00110368

# Bureau of Prisons
Health Services
Clinical Encounter - Administrative Note

| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| :--- | :--- |
| Date of Birth: | 01/20/1953 |
| Note Date: | 07/24/2019 16:10 |

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

Copay Required: No



Cosign Required: No

Telephone/Verbal Order: No

Completed by MD on 07/24/2019 16:12

Generated 07/24/2019 16:12 by

Page 1 of 1

MD

Bureau of Prisons - NYM

EFTA00110369

# Bureau of Prisons
Health Services
Clinical Encounter - Administrative Note

| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| :--- | :--- |
| Date of Birth: | 01/20/1953 |
| Note Date: | 07/24/2019 16:10 |

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



Copay Required: No

Cosign Required: No

Telephone/Verbal Order: No

Completed by MD on 07/24/2019 16:12

Generated 07/24/2019 16:12 by

Page 1 of 1

MD

Bureau of Prisons - NYM