# Bureau of Prisons
Health Services
Medical Duty Status

<table border="1"><tr><td>confined to the living quarters except meals</td><td>treatments</td><td>Exp. Date</td></tr><tr><td>on complete bed rest bathroom privileges only</td><td></td><td>Exp. Date</td></tr></table>

<table border="1"><tr><td>Xcell</td><td>cell on first floor</td><td>single cell</td><td>Xlower bunk</td><td>abome infection isolation</td><td>Exp.Date</td></tr><tr><td>other</td><td colspan="3"></td><td>Exp.Date</td><td></td></tr></table>

<table><tr><td>other:</td><td>Exp. Date:</td></tr></table>

<table><thead><tr><th colspan="2">Physical Limitation Restriction</th></tr></thead><tbody><tr><td>_ all sports</td><td>Exp. Drink ___</td></tr></tbody></table>

___ weight lifting ___ upper body ___ lower body Exp Date ___

| | |

| :--- | :--- |

| cardiovascular exercise: running jogging walking softball | Exp Date: ___ |

<table border="1"><tr><td>other:</td><td>Exp. Date:</td></tr></table>

May have the following equipment in his/her possession:

<table border="1"><tr><td>Equipment</td><td></td><td>Start Date</td><td>End Date</td><td>Return Date</td></tr><tr><td>C-Pap</td><td></td><td>07/30/2019</td><td></td><td></td></tr><tr><td>PHILIPS RESPIRO</td><td></td><td></td><td></td><td></td></tr></table>

PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE SERIAL #. P11312813B1ED.

## Work Restriction / Limitation:

| Cleared for Food Service: | Yes |

| :--- | :--- |

| X | No Restrictions |

| :--- | :--- |

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Comments: N/A

<table border="1"><tr><td>Health Services Staff</td><td>07/30/2019</td></tr><tr><td></td><td>Date</td></tr></table>

Inmate Name: EPSTEIN, JEFFrey EDWARD Reg # 76318-054 Quarters Z04

ALL EXPIRATION DATES ARE AT 24:00

generated 01/30/2019 14:27 by Beaudoum, Robert MD



Family of Nars - Sirai




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