Oct. 4, 2014

Inmate Request Form

by Ronald W. Clark, Jr (author's profile)

Transcription

Department of Corrections
Office of Health Services
Inmate Sick-Call Request

Date: Sept 15, 2014
Inmate Name: Ronald W. Clark Jr.
DC# 812974
Housing Assignment: P-4101

Problem: I need an MRI on my hips, an x-ray was done on my right hip around May. We need too figure out where this back and hip pain is coming from. Also on June 16, 2014 I tore something in my left knee trying to get out of the wheelchair. Put in a sick call. Thought the MRI would be done, it wasn't. I need an MRI on that left knee, also need a diet for this high blood pressure.

When did problem/symptoms start? Back January 2014. Left knee, June 2014. Blood pressure, June 2014

Inmate Name: Ronald W. Clark Jr.
DC# 812974
Date of Birth: April 20, 1968
Institution: Union

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