Epstein Secrets

- Medical Consent And Records Release I certify that the information I have provided above is true to the best of my knowledge. I hereby authorize the United States Marshals Service to request, review, and have access to all medical records of care provided to me during the time that I am in the custody of that agency, and to al

Service, and for infectious disease clearances. Signature of Prisoner Date Signature of USMS Intake Officer Date Original—Prisoner File Copy to District File Copy Upon Transfer Form USM-552 Est. 6/98 SDNY_TN_00020917 EFTA00140914 Repository Inquiry To: greenes3 For: Stephen Greene Case No:90a-ny-31

purposes of providing me with appropriate medical care, adjudicating medical bills for health care services provided to me while in the custody of the United States Marshals Service, and for infectious disease clearances. Signature of Prisoner Date Signature of USMS Intake Officer Date Original--Prisoner File Copy to Distri

ervice, and for infectious disease clearances. Signature of Prisoner Date Signature of USMS Intake Officer Date Original--Prisoner File Copy to District File Copy Upon Transfer Rem USM-552 Est. 6/98 SONY N1T_00000217 EFTA00140902 Message Detail Additional Inquiry Response ORI: NYFBINYOO Federal B

Ill - Medical Consent And Records Release I certify that the information I have providedabove is true to the best of my kaowledgc. hereby authorize the United States Marshals Service to request review, and have access to all medical records of cam provided to mc during the lime dial I am St the custody of that agency. and to all

he Gaited St Is Service. and for infectious disease Sig um • Prisoner 'gnome of USMS Intake Office : atc ak 7N/7 Original—Prisoner File Copy to District File Copy Upon transfer two i isz lal flit Avant/1a 0.1411 EFTA01699631 BP-8377.058 PRISONER REMAND corm FEB 04 U.S. DEPARTMENT OF JUSTICE FEDER