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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. BEAUDOUIN, ROBERT MD 7-24-2019 Coun
rs /re NYM-NEW YORK MCC 1 EFTA00049727 BP-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS ;04 2 1 2 3 4 5 6 7 6 0 10 11 1213 t4 15 18; E-2 32 31 30 20 28 27 2625 2423 22 21 20 10 18 ccifil 4f1"111. Occlusion: OralHygiene: Goo
other: Exp. Date: May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A
ions, 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. NYM-NEW YORK MCC EFTA00110436 BP-A
other: Exp. Date: May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P1131281381ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A
ions, 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 w irections. MD 7-24-2019 Counseled b' Dale NYM--NEW YO
other: Exp. Date: May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P1131281381ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A
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
equipment ,other. Exp. Date: AYTPREirgEffirelartlitrriTittailiiiTtiziailiiiiciliiitiU ; • Equipment Start Date End Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL tt: P113121313B1ED. WO 110 • Wir .r. s'ziff : :Xie<; . :fr ; • Cleared for Food Service: Yes X No Restrict
s, 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 . . b)(6); (b)(7)(C) r )(6); (b)(7)(C
her: Exp. Date: ------ May have the following equipment in his / her possession: Equipment Start D.:\te End Date Return Date C-Pap 07/30i2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P1 1312813B1 ED. Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N
ns, listed above1 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 'an llablllty for respecting and following my expressed wishes and directions. I · b)(6); (b)(7XC) /'] I -----
other: Exp. Date: ------ May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N/A
RIGHTS AT DISCIPLINE HEARING orp.y. rE 9.4 DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Institution: As an inmate charged with a violation of Bureau of Prisons rules or regulations referred to the Discipline Hearing Officer (DHO) for disposition, you have the following rights: 1. The right to have a writte
e Ixp Date' Exp Date. May have the following equipment in his I her possession: Equipment Star' fl 'e End Date Re:urn Date C-Pap 07- 1L2L, PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE SERIAL s. P1131281381ED Work Restriction / Limitation: Cleared for Food Service. Yes X No Restnctions Comments: N/A MD
HTS AT DISCIPLINE HEARING .71)F7C-: U.S9.4 DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Institution: As an inmate charged with a violation of Bureau of Prisons rules or regulations referred to the Discipline Hearing Officer (DHO) for disposition, you have the following rights: 1. The right to have a writte
handball stationary e Asp. ent other: Exp. Date: May have the following equipment In his her possession: Equipment Star C-Pap 0rni. 2t, 3 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINF SERIAL #. P11312813B1ED. End Date Return Date Work Restriction! Limitation: Cleared for Food Service X No Restrictions
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
_basketball _handball stationary equipment • falergiffinagra urS areigiga nieig (Mif; •';' Equipment Start Date End Date Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Cleared for Food Service: Yes X No Restrictions Comments: N/A Health Services Staff • Exp. D
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
ther: _football _basketball _handball stationary equipment • faletanagra urS areigiga niiiiig •';' Equipment Start Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. W m tali Cleared for Food Service: Yes X No Restrictions Comments: N/A ttiatts:niart Health
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Jeffrey Epstein
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Metropolitan Correctional Center
ORGANIZATIONSpecial Housing Unit
ORGANIZATION
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PERSONPark Row
LOCATIONFBI
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PERSONLeon Black
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George W. Bush
PERSONHealth Services
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PERSONVascepa
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ORGANIZATIONVesicular Breath Sounds Bilaterally
PERSONJeffrey Epstein VI Foundation
ORGANIZATIONNEW YORK MCC
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Foreman
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