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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/24/2019 13:08 Provider: [PX Hime) Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic 07/24/2019 Counseling Access to Care 07/24/2019 Counseling Preventive Health Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No MLP on 07/24/2019 13:24 Requested to be cosigned by)?" Cosign documentation will be displayed on the following page. Generated 07/24/2019 13:24 by?"8) (27°) MLP Bureau of Prisons - NYM Reg #: Facility: Unit: Provider 76318-054 NYM HO01 Outcome Verbalizes Understanding Verbalizes Understanding Page 2 of 2 DOJ-OGR-00027355