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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/12/2019 13:10 Provider: (b)(6), (b)(7)(C) MD Facility: NYM Unit: Z05 Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/12/2019 Counseling Diagnosis (b)(6), (b)(7)(C) Verbalizes Understanding Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by (b)(6), (b)(7)(C) MD on 07/12/2019 14:20 See Amendment Generated 07/12/2019 14:20 by (b)(6), (b)(7)(C) MD Bureau of Prisons - NYM Page 3 of 3 DOJ-OGR-00024122