Intake Screen Record

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File: EFTA00048963_p950_i0.png dataset_9
Summary:

The image is a scan of an 'Intake Screen Record' document, likely related to a correctional facility or similar institution, as indicated by the mention of PREA criteria. The document shows signs of handling and processing, with handwritten notes and stamps.

Content Type:
Image
Document Type:
image
Date:
2017-01-13
Model Used:
gemini-2.0-flash-001
Image Classification
Category:
document_scan
Subcategory:
form
Objects Detected (2)
Document
A worn and marked document with the title 'Intake Screen Record'. It has handwritten notes and stamps on it.
Intake Screen Record, PREA Criteria Met, Meets PREA Criteria, referred to Psychology Services, CALL RECEIVED, DATE, 7530-00-222-3525 FEDERAL SUPPLY SERVICE (GPO), 000419, Sensitive But
Stamp
A circular stamp, mostly faded, with a date '13 2017' visible.
13 2017
Scene & Environment

Setting: indoor

Location Type: office

Time: unclear

Atmosphere: official

Background: The background is plain and out of focus.

Document Extraction

Type: form

Date: 2017-01-13

Letterhead: FEDERAL SUPPLY SERVICE

Key Points:

  • Intake Screen Record
  • PREA Criteria Met
  • Referral to Psychology Services

Full Transcription:

Inlavie
RECORD
PREA Criteria Met
Meets PREA Criteria,
referred to Psychology Services
CALL RECEIVED
7530-00-222-3525
FEDERAL SUPPLY SERVICE
(GPO)
DATE:
000419
Sensitive But
Text in Image
Inlavie
RECORD
PREA Criteria Met
Meets PREA Criteria,
referred to Psychology Services
CALL RECEIVED
7530-00-222-3525
FEDERAL SUPPLY SERVICE
(GPO)
DATE:
000419
Sensitive But
13 2017

Significance: The text provides the title of the document, indicates compliance with PREA criteria, and includes contact information for the Federal Supply Service.

Full Description

The image shows a scanned document titled 'Intake Screen Record'. The document appears worn and has handwritten markings and stamps on it. The title 'Intake Screen Record' is prominently displayed. A stamp with the date '13 2017' is visible in the center. The text 'PREA Criteria Met' is printed on the right side. The bottom of the document contains the text 'CALL RECEIVED' and 'DATE:' along with the number '7530-00-222-3525' and 'FEDERAL SUPPLY SERVICE (GPO)'. The document number '000419' is printed at the very bottom. The overall impression is that of an official record that has been processed and possibly reviewed. The document is slightly creased and has some stains, indicating it has been handled.

Organizations
Raw Analysis