The image shows a scanned 'Intake Screen Record' form, possibly related to psychology services and meeting PREA criteria. The document has handwritten markings and appears to be stained.
Type: form
Date: 2017-01-13
Key Points:
Full Transcription:
Inlavie RECORD (913 2017 Meets PREA Criteria, referred to Psychology Services CALL RECEIVED 7530-00-222-3525 FEDERAL SUPPLY SERVICE (GPO) DATE: 000419 Sensitive But
Significance: The text provides the title of the document, date, and information about PREA criteria.
The image is a scanned document, specifically a form titled 'Intake Screen Record'. The form appears to be stained and has some handwritten markings on it, including what looks like a star. The text 'Meets PREA Criteria, referred to Psychology Services' is printed on the form twice. Other text includes 'CALL RECEIVED', 'DATE:', and a number '7530-00-222-3525' along with 'FEDERAL SUPPLY SERVICE (GPO)'. The document number '000419' is at the bottom. The phrase 'Sensitive But' is written vertically on the right side. The overall quality of the scan is medium, with some areas appearing slightly blurry. The document is centered in the frame, and the background is plain.