EFTA00139536.pdf

an it-nraisaanasatraViiC•C warraliflaas OBSERVATION STARTED: 7/?)19 ')i9( a PH PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE OBSERVATION HAS ENDED. THANK vnu. ITEMS ALLOWED: Regular Clothes Safety Toothbrush Newspaper/Ma i ne Books (softcover only) Safety Pen and Paper Toilet Paper Legal Mail Other SW Blanket & SW Mattress must be used even on Psych Observations. nothing is checked with a silver marker, only a .dIf Suicide Smock and Suicide Blanket are allowed. UUNHULN I IAL SDNY 00010980 EFTA00139536 Name of Inmate On Suicide Watch or Psych Observation: Erk n Registration #: 1(03IX-(1)5t/ EATING/SHOWER CHART DATE BREAKFAST LUNCH DINNER LIQUIDS OFFERED RECEIVED SHOWER SHOWER 3-7161 Please check the appropriate box if the person on Suicide Watch/Psych Observation actually eats his meal. Do not check the box if he just received it, but did not eat it. Place a check in the "Liquids" box each time the person drinks. Thank you. 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