MCC Begin Date

Present Glasses - Distance Refraction - Distance Sphere Cylinder Axis Add Sphere Cylinder Axis Add

NYM

Physical Limitation/Restriction

Bureau of Prisons Health Services Medical Duty Status Reg

JEFFREY EDWARD Housing Status

Bureau of Prisons Health Services Immunizations Begin Date

Z04

TAB

Vascepa

Magnesia Susp

Prisons - NYM Page 1

Cap

JEFFREY EDWARD immunization

Bureau of Prisons Health Services

Insulin Reg

Smallpox Series History Unknown Orig Entered:

EDWARD Reg

JEFFREY EDWARD Vision Screen

CAP

Bureau of Prisons Health Services Dental Health

Date Administered Location osmium

Bureau of Prisms NYM Page 1

Measles/Mumps/Rubella Series History Unknown Orig Entered

DDS

RN/IC/P/10C Bureau of Prisons - NYM Page