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Created By Pearl EMR - PH0S12 CMCP                                                           Report Date/Time: 1/15/2015 02:34PM
Schema: TDCJ

                                          EMR Medication Print Pass
                                       Active Medications From 01/15/2015 to 01/16/2015
                                                       RAMSEY I (R1)
ALLERGIES:
NO KNOWN ALLERGIES



PATIENT: RODRIGUEZ, ALAN O      MRN: 1928606    DOB: 02/03/1969   HOUSING: 7W-1 CELL 01

AMLOOIPINE 10MG TABLET
KOP 1 TABS ORAL DAILY FOR 30 DAYS.
RX DATE: 06/12/2014 09:42 AM
                                                ff<
                                           RUN START DATE: 01/08/2015 09:41 AM
                                                                                                                RxID:17542434
                                                                                                                 REFILLS: 7/11
                                                                                            RUN END DATE: 02/07/2015 09:41 AM
ORDERING FACILITY: BYRD (DU)                                                              EXPIRATION DATE: 06/07/2015 09:41 AM
ORDERING PROVIDER: CURRY, JOSEPH M PA-C
MEDICATION STATUS: ACTIVE                                                                 ENTRY USER: CURRY, JOSEPH M PA-C

ASPIRIN EC 81MG TABLET
KOP 1 TABS ORAL DAILY FOR 30 DAYS.
                                                {^0 r&£D yK                                                     RxlD: 17542419
                                                                                                                 REFILLS: 7/11
RX DATE: 06/12/2014 09:42 AM               RUN START DATE: 01/08/2015 09:40 AM              RUN END DATE: 02/07/2015 09:40 AM
ORDERING FACILITY: BYRD (DU)                                                              EXPIRATION DATE: 06/07/2015 09:40 AM
ORDERING PROVIDER: CURRY, JOSEPH M PA-C
MEDICATION STATUS: ACTIVE                                                                 ENTRY USER: CURRY, JOSEPH M PA-C

hydroCHlQRQthiazitie 25MG TAB
KOP 1 TABS ORAL DAILY FOR 30 DAYS.
RX DATE: 06/12/2014 09:42 AM
                                               Tr.
                                           RUN START DATE: 01/08/2015 09:42 AM
                                                                                                                RxlD:17542442
                                                                                                                 REFILLS: 7/11
                                                                                            RUN END DATE: 02/07/2015 09:42 AM
ORDERING FACILITY: BYRD (DU)                                                              EXPIRATION DATE: 06/07/2015 09:42 AM
ORDERING PROVIDER: CURRY, JOSEPH M PA-C
MEDICATION STATUS: ACTIVE                                                                 ENTRY USER: CURRY, JOSEPH M PA-C

LISINOPRIL 20MG TABLET
KOP 1 TABS ORAL DAILY FOR 30 DAYS.
                                                ffeJ3 0y\                                                       RxlD:17542437
                                                                                                                 REFILLS: 7/11
RX DATE: 06/12/2014 09:42 AM               RUN START DATE: 01/08/2015 09:42 AM              RUN END DATE: 02/07/2015 09:42 AM
ORDERING FACILITY: BYRD (DU)                                                              EXPIRATION DATE: 06/07/2015 09:42 AM
ORDERING PROVIDER: CURRY, JOSEPH M PA-C
MEDICATION STATUS: ACTIVE                                                                 ENTRY USER: CURRY, JOSEPH M PA-C

metFORMIN HCL 500MG TABLET

KOP 1 TABS ORAL TWICE DAILY FOR 30 DAYS.
                                                     JA{cih<kh\                                                 RxlD:17542424
                                                                                                                 REFILLS: 7/11
RX DATE: 06/12/2014 09:42 AM               RUN START
                                                TART DATE: 01/08/2015
                                                           i          09:41 AM              RUN END DATE: 02/07/2015 09:41 AM
ORDERING FACILITY: BYRD (DU)                                                              EXPIRATION DATE: 06/07/2015 09:41 AM
ORDERING PROVIDER: CURRY, JOSEPH M PA-C
MEDICATION STATUS: ACTIVE                                                                 ENTRY USER: CURRY, JOSEPH M PA-C

TOTAL FOR RODRIGUEZ, ALAN O




                                                                  ISo'/l^l^bv-)

                                                           Page 1




                                                                                                   l/ZS/e/S.
     DBL9481 /R1UF/HS05                TEXAS DEPARTMENT OF CRIMINAL JUSTICE                          05:55:59
                                        HEALTH SUMMARY FOR CLASSIFICATION                       12/09/2014

       NAME: RODRIGUEZ,ALAN OMAR                                    DOB    02/03/1969       P   U    L    H   E   S
       TDCJ#: 01928606 SID#: 07454322                               WGT    160 LBS
       UNIT:   Rl           HOUSING:      7W-1-05T                  HGT    5'05"            3    1    1   1   2   1
       JOB:    FOLDER LAUNDRY 3RD                                                           C A      A    A   B   A
                                                                                            P                 P




I.     FACILITY ASSIGNMENT (CHECK ONE)
X     A.   NO RESTRICTION
      B. BARRIER-FREE FACILITY
      C. SINGLE LEVEL FACILITY
      D.   SUITABLE FOR TRUSTEE CAMP?          X   YES    NO


II. HOUSING ASSIGNMENT
A. BASIC HOUSING (CHECK ONE)                                   B.    BUNK ASSIGNMENT    (CHECK ONE)
X     1.   NO RESTRICTION                                 X     1.   NO RESTRICTION
      2. SINGLE CKT.T, ONLY                                     2.   LOWER ONLY
      3. SPECIAL HOUSING (HOUSING WITH
            LIKE MEDICAL CONDITION                              5. EXTENDED MEDICAL HOURS
      4. CELL BLOCK ONLY
C. ROW ASSIGNMENT (CHECK ONE)                                  D. WHEELCHAIR USE (CHECK ONE)
X     1. NO RESTRICTION                                         1. NO RESTRICTION
      2. GROUND FLOOR ONLY                                      2. PHOP ORDERED
                                                                3. UTILITY USE

III.WORK ASSIGNMENT/RESTRICTIONS (CHECK ALL THAT APPLY)
   1. MEDICALLY UNASSIGNED           15. NO FOOD SERVICE
   2. PSYCHIATRICALLY UNASSIGNED  _ 16' NO REPETITIVE USE OF HANDS
   3. SEDENTARY WORK ONLY            17. NO WALK WET/UNEVEN SURFACES
   4. FOUR HOUR WORK RESTRICTION     18. DO NOT ASSIGN TO MEDICAL
      6.   EXCUSE FRCM SCHOOL                      19. NO WORK IN DIRECT SUNLIGHT
      7.   LIMITED STANDING                   00 20. NO TEMPERATURE EXTREMES
      8.   NO WALKING >         YARDS              21. NO HUMIDITY EXTREMES
      9.   NO LIFTING >         LBS.               22. NO EXPOSURE TO ENVTRONMENT POLLUTANTS
      10.NO BENDING AT WAIST                       23. NO     WORK WITH CHEMICALS OR IRRITANTS
      11.NO REPETITIVE SQUATTING                   24. NO     WORK REQUTRIJNG SAFETY BOOTS
      12.NO CLIMBING                               25. NO WORK AROUND MACHINE WITH MOVING PART
      13.LIMITED SITTING                           26. NO WORK EXPOSURE TO LOUD NOISES
      14.NO REACHING OVER SHOULDER

IV. DISCIPLINARY PROCESS (CHECK ONE)
X     A.   NO RESTRICTIONS
      B. CONSULT REP OF MENTAL HEALTH DEPT BEFORE TAKING DISCIPLINARY ACTION
      C.   CONSULT REP OF MEDICAL DEPARTMENT BEFORE TAKING DISCIPLINARY ACTION

V.     J1SDIVTIJUALIZED TREATMENT PLAN (CHECK ALL TTHAT APPLY)
X     A. NO RESTRICTION                        C. MENTAL HEALTH REPRESENTATIVE REQUIRED
      B. MEDICAL REPRESENTATIVE REQUIRED

VI.    TRANSPORTATION RESTRICTIONS          (CHECK ONE)
X     A. NO RESTRICTION                        C. WHEELCHAIR VAN
      B.   EMS AMBULANCE                      D. MULTI-PATIENT VEHICLE (MPV)

JONES                      MD               12/09/2014
PRINTED NAME AND TITLE OF REVIEWER                 DATE                   SIGNATURE OF REVIEWER
   _~ ...                                                   1201 Franklin Street, 13th Floor
 BUDllC                                                     Houston, Texas 77002
    Tjefender^s                                             713.368.0016
                                                            713.368.9278 eFax



  Harris County, Texas




Febrero 2,2015


ALAN OMAR RODRIGUEZ
TDC#01928606
W.F. Ramsey Unit
1100 FM 655
Rosharon, TX 77583

Sr. Rodriguez:

Espero se encuentre bien. Gracias por mandarme todos esos documentos. Se los estoy
regresando en caso de que los necesite. Yo le creo cuando dice que es inocente y que aun ama
a America. Hare lo mas posible por usted. Por favor cuidese.

Sinceramente,



JANI MASELLI
Assistant Public Defender
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