Page 1 of 1 BP-A295,052 SPECIAL HOUSING UNIT REVIEW U.S. DEPARTMENT OF JUSTICE ih am FEDERAL BUREAU OF PRISONS Institution: NEW YORK MCC Inmate Name: EPSTEIN, JEFFREY EDWARD 1. Subject: (2 cr 3 Days) 3 Day Review Action Taken on the Above Date: Continue in Special Housing Unit Printed Name/Signature: Wl, RECORD REVIEW. (To be done weekly in the inmate's absence, beginning after the in-person 7 day review, and continuing every week between each in-person 30 day review.) SIGNATURE Ml. Subject: (7 or 30 Days) 7 Day Review Date inmate appeared for a Special Housing Review. 08-05-2019 Or Date inmate waived right to appear: 01-01-111 Has been seen daily by Medical Staff. | ves; C] ne Has been seen daily by responsible officer designated by Warden: M1] ves: To Has received prescribed weekly exercise: MW] ves; (Ino Proper documentation and justification in the Central File (Incident Report, OHO Report, copies of Special Housing Review Form): Myes; no if no, why not? !s there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housing status? MW ves: CI ne ts there an additional assessment for every one month interval thereafter? ves: Ln if no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: [1 released trom Special Housing: [7 continue in Special Housing Did inmate in Administrative Detention receive a written copy of staff's decision and the basis for the finding at each 30 day review? ves: Dn if no, why not (Should be given provided institutional security not compromised)? Remarks: (Any change in the reason for placement is to be noted in this section. if the reason for placement changes, the inmate must receive a copy of this form): file:///C:/temp/shw/Epstein-Reno763 18-054 SRO_20190729-20190810.html 8/13/2019 EFTA00036573