EFTA00139079

# Bureau of Prisons
Health Services
Dental Soap/Admin Encounter

<table><thead><tr><th>Inmate Name:</th><th colspan="4">EPSTEIN, JEFFREY EDWARD</th><th>Reg #:</th><th>76318-054</th></tr></thead><tbody><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">DeBruce, Juanita Dental Asst</td><td>Unit:</td><td>Z05</td></tr></tbody></table>

Screening encounter at Dental Clinic.

Reason Not Done: Unavailable

**Comments:** Patient has had several call outs for his Dental A & O screening but has not been escorted to the dental clinic.

**Cosign Required:** No

Completed by DeBruce, Juanita Dental Asst on 07/19/2019 13:49.

Generated 07/19/2019 13:49 by DeBruce, Juanita Dental



SDNY_00017443


Bureau of Prisons - NYM

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