Free Sur-Reply Brief - District Court of Delaware - Delaware


File Size: 51.8 kB
Pages: 1
Date: September 7, 2006
File Format: PDF
State: Delaware
Category: District Court of Delaware
Author: unknown
Word Count: 263 Words, 1,685 Characters
Page Size: Letter (8 1/2" x 11")
URL

https://www.findforms.com/pdf_files/ded/35951/69-3.pdf

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QP PP P P P 9 9 99999 <>rrE~¤E& Offender Name : BAYLIS, l.EOl\I/XRD K SBI# : 00100231 Institution : DCC
Grievance # 223 · Grievance Date Category ; Individual
Status · Unresolved Resolution Status: Reset. Daft-3 I
Grievance Type: I-Iealth Issue (l\/Iedical) Incident Date : 11/29/2005 Incident Time; 13100
IGC : l\J1erson,l.ise l\/I Housing Location : Bldg \/, Tier D, Cell 1, Single
P` OFFENDER GRIEVANCE DETAILS 9—_T _
Description of Complaint: Inmate claims: After repeated attempts to see Dentist (I have trouble eating because of missing
teeth) and after signing off on a grievance on 15 Noi/(at gander hill) and after I was promised
dental treatment, I was today refused treatment because ofwrong information in Dental records.
Remedy Requested : To receive proper Dental Treatment.
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PP PP PTP PP P PA`ijEiPiTioNAi_ GRIPEPVANEEPiPr Medical Grievance : YES Date Received by Medical Unit : 01/11/2005
Investigation Sent ; O1/11/2006 Investigation Sent T0 z I\/Ialaney, Christine
Grievance Amount : gym g
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