Full Text
Page 2433
Bureau of Prisons
Health Services
Clinical Encounter - Administrative Note
Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Note Date: 07/24/2019 15:10
Sex: M
Race: WHITE
Reg #: 76318-054
Provider: [b(6); (b(7)(C)] MD
Facility: NYM
Unit: H01
Admin Note - General Administrative Note encounter performed at Health Services.
Administrative Notes:
ADMINISTRATIVE NOTE 1
Provider: [b(6); (b(7)(C)] MD
PATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALUATION. HE REFUSED. REFUSAL FORM SIGNED.
Copay Required: No
Telephone/Verbal Order: No
Cosign Required: No
Completed by [b(6); (b(7)(C)] MD on 07/24/2019 15:17
Generated 07/24/2019 15:17 by [b(6); (b(7)(C)] MD Bureau of Prisons - NYM
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DOJ-OGR-00026109