Documents tagged "Department"
Found 206 documents with this tag
DOJ-OGR-00026129.jpg
The image shows a piece of paper with printed text on it. The paper appears to be an official form or document related to the history of physical and mental health from the Department of Prisons. It includes multiple lines of information that are likely checkboxes for different conditions such as heart disease, diabetes, hypertension, etc. There is also some handwritten text on the document, which seems to indicate a personal identification number "029" at the top left corner and there's a signature at the bottom right corner, possibly indicating an individual's consent or confirmation of the information provided. The background behind the paper is out of focus and does not provide any additional context about the location or situation where the document was being used.
DOJ-OGR-00026127.jpg
The image is a photograph of a medical document titled "Department of Health and Human Services" at the top. It appears to be related to patient care within the healthcare system. The document includes personal information such as a name, which has been redacted for privacy, along with dates and clinical data. There are handwritten notes on the document, indicating some level of customization or ongoing use in medical settings. The text is small, suggesting that it contains detailed information related to patient care or treatment plans.
DOJ-OGR-00026110.jpg
The image is a photograph of an official document with various fields filled out, including the title "Department of Corrections Clinical Encounter" at the top. There are dates and times listed for encounters, such as "1/2/09 3:40 PM" and "5/7/09 1:20 PM," with corresponding locations given in parentheses. The document appears to be a log or record of medical or clinical interactions within an institution. The text is clear and legible, indicating that the form serves as an administrative tool for tracking encounters between staff and individuals under the jurisdiction of the Department of Corrections.
DOJ-OGR-00026109.jpg
The image appears to be a photograph of a printed document, possibly an official form from a governmental department. The title at the top reads "Bureau of Prisons," indicating it's related to the United States Department of Justice's Bureau of Prisons. Below that is the header for the form itself, which includes spaces for sections such as "Date," "Name," and "Location," but these are not filled in. The text on the document includes instructions or notes written in red ink; however, to ensure privacy, I will refrain from describing the content of these notes. The overall style of the image is straightforward, focusing on providing a clear view of the document's header and the top portion of its body.
DOJ-OGR-00026107.jpg
The image shows a document with a header that reads "DEPARTMENT OF CORRECTIONS CLINICAL SERVICES REPORT OF INMATE ILLNESS OR INJURY". The body of the text is obscured by a watermark that says "DRAFT" in large, red letters across the page. The form appears to be part of an official report related to the health services provided within a correctional facility. It seems to be designed for documenting incidents involving inmates' health and well-being while they are under the supervision of the Department of Corrections.
DOJ-OGR-00026106.jpg
The image shows a piece of paper with printed text, possibly an official document from the "Department of Public Service." The text is too small to read in detail, but there are visible headings such as "Date" and "Subject," followed by lines for information that would typically include dates and other relevant details about a meeting or event. There's also a line labeled "See Attached Report," indicating the presence of additional materials not included within the scope of the image provided. The style of the document suggests it may be part of a formal government report or agenda item.
DOJ-OGR-00026104.jpg
The image is a photograph of a document that appears to be an official report or letter from the Department of Justice, Federal Bureau of Prisons. The title "Department of Justice" is at the top in bold letters, followed by "Federal Bureau of Prisons" underneath. Below this header are sections for the name and address of the sender, with a redacted area where the name would typically be found. The document includes printed text that provides information relevant to its purpose within the federal prison system; however, specific details are not legible in the image. The overall style of the image is straightforward and utilitarian, typical for official government correspondence.
DOJ-OGR-00026100.jpg
The image shows a document with the header "Bureau of Prisons" at the top. Below the header is a section titled "COURT REVIEW". The document appears to be an official form from the United States Department of Justice, Federal Bureau of Prisons, as indicated by the visible text. It includes various fields and lines designed for data entry or review, though the specific details are not filled out on this particular page. At the bottom left corner, there's a section labeled "REMARKS" with blank lines, intended for written notes. The image itself has a slight blur, making it somewhat difficult to read smaller text.
DOJ-OGR-00026098.jpg
The image shows a form titled "Department of Corrections Clinical Encounter". This appears to be an official document from the Department of Corrections, as indicated by the bold title at the top. The form is filled out with various sections and boxes containing text. However, due to the angle and resolution of the photo, some details are not entirely clear. It looks like a structured record-keeping sheet possibly used for tracking medical encounters or healthcare services within the corrections system. The form includes fields such as "Date", "Time", and what appears to be space for patient information and clinical notes.
DOJ-OGR-00026086.jpg
The image shows a document titled "Department of Prisons Clinical Encounter Summary". It is dated April 2019 and appears to be an official report or record related to healthcare encounters within the prison system. The document contains various sections with headings such as 'Encounter ID', 'Provider Name', 'Location', and 'Date of Service'. There are also columns for patient information, diagnosis codes, treatment rendered, and medications. Specific details like names, encounter numbers, and medical information are redacted to maintain privacy. The document is printed on standard white paper with black text.
DOJ-OGR-00026083.jpg
The image shows a piece of paper with printed text that appears to be an official document from the U.S. Department of Health and Human Services (HHS). The document is titled "CONFIDENTIAL TREATMENT REQUESTED" and mentions that the information included has been redacted by the requester, indicating that some data has been removed for privacy or legal reasons. There are visible stamps and signatures, including a handwritten note at the bottom right corner which seems to be in a red ink, suggesting it is a recent addition to the document, possibly an annotation or correction. The document's content and style suggest it could be related to medical treatment guidelines or policy within the U.S. healthcare system.
DOJ-OGR-00026081.jpg
The image displays a document from the "Department of Justice" related to medical treatment records for an individual named "David Cope." The document includes various pieces of information such as dates, numbers, and titles, which are typically associated with legal or administrative paperwork. At the bottom, there is a signature followed by what appears to be a title, but the name is redacted. The overall style of the image suggests it may have been taken with a camera aimed at the document, possibly for sharing purposes like faxing or emailing the contents.
DOJ-OGR-00026080.jpg
The image appears to be a document related to the Department of Justice and its Bureau of Prisons. The title "Bureau of Prisons" is clearly visible at the top. There's also a date mentioned at the top right corner, though it's not fully legible in this context. Additionally, there are sections with headings such as "Staff Member(s) Involved," "Allegation," and "Date Submitted by Staff Member." However, the details within these sections are not entirely clear due to the resolution or angle of the image. The document seems to be a formal report or complaint form used within the Bureau of Prisons.
DOJ-OGR-00026078.jpg
The image is a photograph of an official document. At the top, there's a header that reads "Department of State Bureau of Medical Services" with additional text that includes names and dates. The body of the document features text detailing various medical-related information, but specific details are not clear due to the resolution and angle of the photo. The bottom part of the document is partially visible, showing some handwritten notes or signatures, one of which is a name written in cursive script. There's also a stamp on the bottom left corner with additional text and a date that is not entirely legible. The document appears to be of an official nature, possibly related to medical services within the Department of State.
DOJ-OGR-00026077.jpg
The image shows a document with a form and an X-ray of a mouth attached to it. The form includes several fields with printed information such as "Department of Veterans Affairs" at the top, followed by "Health Care Eligibility Center" and "Federal Benefits Report." There are boxes checked off indicating dates and other notes that have been written in pen. Additionally, there is a handwritten note on the bottom right corner of the document, but it's not entirely clear due to the resolution of the image. The X-ray displays tooth roots and gums, with annotations or markings made over it, likely for medical reference.
DOJ-OGR-00026074.jpg
The image is a scanned document that appears to be an official medical treatment refusal form from the United States Department of Justice Federal Bureau of Prisons. At the top right corner, there's some handwritten notes which include a date "7/19/19" and what seems like a signature or initials next to it. The form includes sections for information such as the patient's name, ID number, and medical treatment being refused. There are checkboxes with reasons for refusal along with a place for the patient's signature to acknowledge their understanding of the situation. The document has a header with the bureau's logo and address at the top left corner.
DOJ-OGR-00026073.jpg
The image shows a document with various texts and signatures, indicating it is an official form or letter of some sort. The text includes a reference to the "U.S. Department of Health and Human Services" and a section titled "Statement in Support of Claim for Compensation Under the National Vaccine Injury Compensation Program." There's also a date mentioned as "12/05/2008," suggesting when the form was signed or filled out. The document appears to be certified or acknowledged by a person whose name is partially visible at the bottom right corner, though it is redacted for privacy reasons.
DOJ-OGR-00026022.jpg
The image is a scanned document titled "Certification of Identity" from the U.S. Department of Health and Human Services (HHS). The document contains various fields for personal information including name, address, and contact phone number. There are also instructions on how to verify identity using a form or a passport. It appears to be a government-issued form intended for official purposes related to health and human services. The text is in English, and there's no visible person or location within the image itself.
DOJ-OGR-00025732.jpg
The image shows a piece of paper with various texts and a list of items or names. The paper appears to be an official document or form, possibly related to a hospital or medical facility given the presence of department names such as "Department of Medicine" and "Department of Surgery." It's not clear from this description if there are any other people, locations, or significant objects in the image because the focus is on the text which is providing an abstracted description rather than specific details.
DOJ-OGR-00025695.jpg
The image shows a document with visible text, including the words "Response to a Public Request for Information" and "Department of Veterans Affairs Office of Inspector General." There are also checkboxes labeled "Yes," "No," and "N/A," along with some highlighted areas on the page, suggesting that parts of the document have been marked or annotated. The background of the image is not clearly visible due to the focus being on the text and annotations within the document.