6
Shared Docs
6
Same-Page
7 / 6
Mentions
tions, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my ex .r ssed wishes and directions. EFTA00050863 BP-S358.C50 SEP 05
y MD on 07/141201918:12. Bureau of Prisons - NYM EFTA00050870 BP-5158.050 SEP 05 U.S. DEPARTMENT OF JUSTICE MEDICAL TREATMENT REFUSAL CDFRM FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following co
07/30/2019 09:30 NYM 194.2 88.1 MD Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unke cutely Ill Nutrition No: Appears O Pulmonary
tions, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical andlor mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. X-RAY 7-10-2019 Counseled by Date
MD Lb.S. Kg Waist Circurn, Pioxider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic. Appears in Pain. Writhing in Pain. Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unke cutely III Nutrition No: Appears Ob Pulmonary
tions, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental con 'don, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUI , ROBERT MD 7-24-2019 Coun
rt MD Us. Eg. Waist Circunt, Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic. Disheveled, Unkejii• '•fi cutely III Nutrition No: Appears On
tions, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUI , ROBERT MD 7-24-2019 Coun
obert MD Lim Kg Waist Circum Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unk cutely III Nutrition No: Appears Ob Pulmonary
tions, listed above, and still refuse recommended treatment l hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expresso• • -rectlons. Counseled by 7-24-2019 Date Siffiature of W
.2 88.1 Lla Kg Waist circum Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed. Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic. Disheveled, Unke Acutely III Nutrition No: Appears O Pulmonar
tions, listed above, and still refuse recommended treatment l hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. 7-24-2019 Counseled by Date is Sig
4.2 88.1 OA Ku Waist Qircum Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed. Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic. Disheveled, Unke Acutely III Nutrition No: Appears O Pulmonar
Entities connected to both Federal Bureau of Prisons and Distre ed

Jeffrey Epstein
PERSON
Metropolitan Correctional Center
ORGANIZATIONSpecial Housing Unit
ORGANIZATION
Ghislaine Maxwell
PERSONPark Row
LOCATION
George W. Bush
PERSONHealth Services
ORGANIZATIONPrisons
ORGANIZATION
Springfield
LOCATIONHA-Unit
ORGANIZATIONJoaquin
PERSONVesicular Breath Sounds Bilaterally
PERSONNEW YORK MCC
ORGANIZATIONVascepa
ORGANIZATIONOrthopedic/Rheumatology
ORGANIZATIONISNCE
ORGANIZATIONPill Line
PERSONTOPROL
ORGANIZATIONRobert MD
PERSONBeaudouin
PERSON