EFTA00134708

Bureau of Prisons
Health Services
See Amendment

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Sex: M
Race: WHITE
Encounter Date: 07/14/2019 17:36
Facility: NYM

Amendment made to this note by on 07/14/2019 18:11.

# Bureau of Prisons
Health Services
Clinical Encounter - Administrative Note

| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| :--- | :--- |
| Date of Birth: | 01/20/1953 |
| Note Date: | 07/12/2019 09:06 |

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

Admin Note - Orders encounter performed at Health Services.

Administrative Notes:

ADMINISTRATIVE NOTE 1 Provider: , Robert MD

PATIENT REQUESTED TO HAVE A COLACE RX , INSTEAD OF TEH BISACODYL FOR CONSTIPATION.

<table><thead><tr><th colspan="2">New Medication Orders:</th></tr></thead><tbody><tr><td>Rx#</td><td>Medication</td></tr><tr><td></td><td>Docusate Sodium Capsule</td></tr></tbody></table>

<table><thead><tr><th>Order Date</th></tr></thead><tbody><tr><td>07/12/2019 09:06</td></tr></tbody></table>

Indication: Constipation, unspecified



- Two Times a Day x 30 day(s)



<table><thead><tr><th>Order Date</th></tr></thead><tbody><tr><td>07/12/2019 09:06</td></tr></tbody></table>

<table border="1"><tr><td>Discontinue Type:</td><td>When Pharmacy Processes</td></tr><tr><td>Discontinue Reason:</td><td>discontinue</td></tr><tr><td>Indication:</td><td></td></tr></table>

Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days

<table><thead><tr><th>Copay Required: No</th><th>Cosign Required: No</th></tr></thead></table>

Telephone/Verbal Order: No

Completed by on 07/12/2019 09:10

Generated 07/12/2019 09:10 by

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Bureau of Prisons - NYM



SDNY_00000966


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