EFTA00121361

# Bureau of Prisons
Health Services
Dental Soap/Admin Encounter

| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| :--- | :--- |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/18/2019 13:48 |

| Sex: | M | Race: WHITE |
| :--- | :--- | :--- |
| Provider: | | Dental Asst |

| Reg #: | 76318-054 |
| :--- | :--- |
| Facility: | NYM |
| Unit: | Z05 |

Screening encounter at Dental Clinic.

Reason Not Done: Unavailable

<table border="1"><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.

Generated 07/19/2019 13:49 by

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Dental

Bureau of Prisons - NYM