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Page 1060 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/23/2019 06:20 Provider: (b)(6); (b)(7)(C) MLP Facility: NYM Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing Exam Comments (b)(7)(A) ASSESSMENT: Injury, unspecified, T1490 - Current - R/O self inflicted injuries. PLAN: Disposition: Follow-up at Sick Call as Needed Placed on Suicide Watch Follow-up in 2-4 Hours Other: For follow up with psychology service. Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/23/2019 Counseling Access to Care (b)(6); (b)(7)(C) Verbalizes Understanding 07/23/2019 Counseling Plan of Care Verbalizes Understanding Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed by (b)(6); (b)(7)(C) MLP on 07/23/2019 09:05 Requested to be cosigned by (b)(6); (b)(7)(C) MD. Cosign documentation will be displayed on the following page. Generated 07/23/2019 09:05 by (b)(6); (b)(7)(C) MLP Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00025283