DOJ-OGR-00026085.jpg
Extracted Text (OCR)
Page 2409
|
BP-A0618
JUN 16
U.S. DEPARTMENT OF JUSTICE
A&O DENTAL EXAMINATION
(Initial Clinical Dental Findings) ;
FEDERAL BUREAU OF PRISONS
42 3 4567 8 9 101 1213 415 16
2 32 31 30 29 28 27 2625 2423 22 21 20 19° 18 i
Intra-oral Photos Taken:
Yes
(io)
med sane Hoge
ipter onlaiam Cmalinvelsertd
Radiographs Taken: (Document findings on A&O encounter)
S
Instructed how to obtain urgent and non-urgent dental care: ic
Treatment Priorities: None: Non-urgent: Urgent: Referred to Sick Call:
non-urgent
Radiographs authorized:
PAs:
| BWs:
Patient Name:
Prophylaxis authorized: Yes i No
(Approval valid 18 months from examination date)
Dentist Signature:
POF
MCC New York
Prescribed by P6400 ' Replaces BP-A0618 of JUN 10
DOJ-OGR-00026085
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| Filename | DOJ-OGR-00026085.jpg |
| File Size | 751.8 KB |
| OCR Confidence | 81.8% |
| Has Readable Text | Yes |
| Text Length | 755 characters |
| Indexed | 2026-02-03 21:02:26.575937 |