DOJ-OGR-00026278.jpg

Page 2618 Bureau of Prisons Health Services Dental A&O Exam Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Encounter Date: 07/26/2019 07:47 Provider: DS Unit: HO01 Reviewed Health Status: Yes Occlusion: Class | Oral Hygiene: Fair CPITN: 3 2 3 3 2 3 Hard and soft tissue examination performed and documented on BP618 form: Yes Head & Neck/Soft Tissue within normal limits? No Comments: moderate to advanced upper posterior gingival recession Decayed: Missing: Filled: 0 1 14 Comments: Lower anterior crowding Approved for hygiene appointment and radiographs: Yes Instructed inmate how to obtain routine and emergency dental care. Oral hygiene instructions given: Yes Dental A&O Screening Exam findings entered on EPSTEIN, JEFFREY EDWARD by|°°) °°" 07/26/2019 07:47. Generated 07/26/2019 08:00 by@1@) (bre DDS Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR- 00026278