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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 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
s from any and all liability for respecting and following my expressed wishes and directions. ESGUERRA, S. X-RAY 7-10-2019 Counseled by Date ( Patien 8ignifure Date S Date NYM-NEW YORK MCC EFTA00050874 BP-A0818 JUN 18 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (tnittil Clinical D
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
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 Patien Signature Date 1 11 Wilii - ( 0 ( gna ure o Mess Date NYM-NEWYORK MCC EFTA00110338 I I I. BP-5358.060 MEDICAL TREATMENT REFUSAL CDFRM
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. 7-24-2019 Date s Sign Date CONF
risons and its employees from any and all liability for respecting and following my expressed wishes and directions. Counseled by 7-10-2019 Date Patien Signature Signature of Witness Date NYM-NEW YORK MCC Date CONFIDENTIAL SDNY_00009385 EFTA00139329 BP-A0618 JUN 16 U.S. DEPARTMENT OF JUST
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
llowing my expressed wishes and directions. ESGUERRA, S. X-RAY 7-10-2019 Counseled by Date cir bicSit.:- -7- to - Signature of Witness Date Patien Sign Lure Date NYM-NEW YORK MCC EFTA00049332 BP-A0818 JUN 18 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION plait Clinigal Dental Findin
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
yees from any and all liability for respecting and following my expressed wishes and directions. ESGUERRA, S. X-RAY 7-10-2019 Counseled by Date Patien SignatTure Date s-68}-ur "7- to - Signature of Witness Date NYM-NEWYORK MCC EFTA00049629 BP-5356.060 MEDICAL TREATMENT REFUSAL CDFRM SEP
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
es from any and all liability for respecting and following my expressed wishes and directions. Counseled by Signature of Witness 7-10-2019 Date Patien Date NYM-NEW YORK MCC EFTA00105080 BP.S358.060 MEDICAL TREATMENT REFUSAL SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF RISONS 7-24-20
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
ts employees from any and all liability for respecting and following my expressed wishes and directions. RAY 7-10-2019 r\ t Counseled by Date Patien Signature Date Signature of Witness Date NYM—NEW YORK MCC ONY_00001026 EFTA_00000235 EFTA00134770 •• ••. •••••••• •••mm. BP-A0618 A&O D
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