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Page 2429 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Note Date: 07/26/2019 08:57 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: (b)(6); (b)(7)(C) MD (b)(7)(A) New Medication Orders: Rx# Medication Order Date Prescriber Order Docusate Sodium Capsule 07/26/2019 08:57 TAKE ONE 100 MG CAP Orally - Two Times a Day x 180 day(s) Indication: Constipation, unspecified Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by (b)(6); (b)(7)(C) MD on 07/26/2019 08:58 Generated 07/26/2019 08:58 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 1 of 1