Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M___Race: WHITE Facility: NYM Encounter Date: 07/24/2019 13:08 Provider: [I ue Unit: HO1 Mid Level Provider - Follow up Visit encounter performed at Receiving & Discharge. SUBJECTIVE: COMPLAINT 1 Provider: mip Chief Complaint: Other Problem Subjective: | still do not want to talk about. But, between you and me. | think my room mate had to do with what happened to me. Do not ask me. | am not going to say anything. Pain: No OBJECTIVE: Temperature: Date Time Eahrenheit Celsius Location Provider 07/24/2019 13:12NYM 97.8 36.6 Oral Ea. ve Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/24/2019 13:12 83 Via Machine Regular [RR wie Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/24/2019 13:12NYM 132/89 RightArm _ Sitting Adult-regular J. vce $a02: Date Time Value(%) Air Provider 07/24/2019 13:12 NYM 96 Room Air a vie Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Appears in Pain Exam Comments Follow up evaluation done for inmate Epstein. He does not look in any pain or distress. He still has the erythema around his neck. Central part of this erythema has some abrasion. Patient does not complaint of any respiratory problem or distress. He still does not want to explain how the skin injury on his neck happed. he insinuates that injuries on his neck have to do with his room mate. But does not want to talk about it. ASSESSMENT: Injury, unspecified, T1490 - Current PLAN: Disposition: Generated 07/24/2019 13:24 by SE mip Bureau of Prisons - NYM Page 1 of 2 CONFIDENTIAL SDNY_00009410 EFTA00058507

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inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M_ Race: WHITE Facility: NYM Encounter Date: 07/24/2019 13:08 Provider: J mie Unit: HO4 Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic Provider Qutcome 07/24/2019 Counseling Access to Care i. Verbalizes Understanding 07/24/2019 Counseling Preventive Health a. Verbalizes Understanding Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed by EE. MLP on 07/24/2019 13:24 Requested to be cosigned by EEN MO. Cosign documentation will be displayed on the following page. Generated 07/24/2019 13:24 by EEE. mLP Bureau of Prisons - NYM Page 2 of 2 CONFIDENTIAL SDNY_00009411 EFTA00058508

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Race: WHITE Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/24/2019 13:08 Provider: [J wp Facility: © NYM Cosigned with New Encounter Note by A ID on 07/24/2019 16:10. Bureau of Prisons - NYM CONFIDENTIAL SDNY_00009412 EFTA00058509