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Page 1060 em Inmate Namé: EPSTEIN, JEFFREY EDWARD ° Reg#: 76318-054 Date of Birth: 01/20/1953 Sex: © M_ Race: Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: [°° °°" . Unit: HO1 Exam: Acutely Ill Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing ASSESSMENT: Injury, unspecified, T1490 - Current - R/O seif 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: 07/23/2019 Counseling Access to Care NPE ONENS) Verbalizes Understanding 07/23/2019 Counseling Plan of Care Verbalizes Understanding Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed by?!" LP on 07/23/2019 09:05 Requested to be cosigned by Cosign documentation will be displayed on the following page. Generated 07/23/2019 09:05 b Bureau of Prisons - NYM . Page 2 of 2 DOJ-OGR-00025283