DOJ-OGR-00027358.jpg

nn Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE 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 seff 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: Date Initiated Format Handout/Topic rovide: Qutcome 07/23/2019 Counseling Access to Care ! Verbalizes Understanding 07/23/2019 Counseling Plan of Care Verbalizes Understanding Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed by”'""'°'""_ | MLP on 07/23/2019 09:05 Requested to be cosigned byj?'") )'"") Cosign documentation will be displayed on the following page. Generated 07/23/2019 09:05 by;.7)c) | MLP Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR- 00027358