Feb. 26, 2013

Inmate's Request to Staff Member

by Jerome Coffey


Form DC-135A


Commonwealth of Pennsylvania Department of Corrections

Complete items number 1-8. If you follow instructions in preparing your request, it can be responded to more promptly and intelligently.

1. To: (Name and Title of Officer)

2. Date:

3. By: (Print Inmate Name and Number)
Jerome Coffey, AS-1558

4. Counselor's Name

5. Unit Manager's Name

6. Work Assignment

7. Housing Assignment

8. Subject: State your request completely but briefly. Give details.

I am scheduled to be interviewed by PRC Thursday, March 29, 2013. I am putting you on notice.

(1) I been in the RHU a total of one year prior to ten years at SCI-Greene, before coming to SCI-Forest only spending 5 days on General Population at SCI-Forest.

(2) I am requesting a thorough psychological examination test done to determine what psychological effects I suffer from prolonged isolation.

(3) I don't want [redacted] to have nothing to do with my psychological examination (my opinion) from my observation over a year in RHU I believe both are racist and practice white supremacy beliefs and manipulate prisoners' files.

(4) I feel comfortable with psychologist [redacted] (I know [redacted] from SCI Greene).

(5) I don't want any psychological examination test around no custodial staff, it violates doctor-patient privilege.

(6) I want it to be conducted in the law library.

Thank you very much.

CC: [redacted]

You will be evaluated when staff has a chance to pull you out. Be patient. Thanks.


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