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Page 2406 | Ll BP-A0618 A&O DENTAL EXAMINATION JUN 16 (Initial Clinical Dental Findings) : U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Oral Hygiene: Ts 2 3 4567 6 9 1011 1219 14 15 16 fF O32 31 30 29 20 27 26252623 22 2120 19° 18 17 2] (AL M ji (ROSS, teen t. Late on Ne a” Crohn cobsened Intra-oral Photos Taken: Radiographs Taken: (Document findings on A&O encounter) Yes Yes () / Instructed how to obtain urgent and non-urgent dental care: Yes: ff No: Treatment Priorities: None: Non-urgent: Urgent: Referred to Sick Call: non-urgent Radiographs authorized: : Prophylaxis authorized: Yes ¥ No Bers es (Approval valid 18 months from examination date) Is: Panorex: MCC New York PDF Prescribed by P6400 * Replaces BP-A0518 of JUN 10 DOJ-OGR- 00026082