6
Shared Docs
6
Same-Page
6 / 6
Mentions
ility for respecting and following my expressed wishes and directions. 7-10-2019 Date Patie grtature Date NYM-NEW YORK MCC EFTA00050864 NYM--NEW YORK MCC 6P-5358.C60 MEDICAL TREATMENT REFUSAL C0E RM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF FRISONS 7-24.2019 Date I, JEFFREY EPSTEIN
Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: MOM Unit: HO1 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing Exam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not app
y Dispensings: 21 tab in 1 day Generated 07/30/2019 15:33 by Aassiddaa, Joy FOIA Bureau of Prisons - NYM Page 1 of 2 EFTA00045568 Complex: NYM--NEW YORK MCC Begin Date: 07/02/2019 Inmate: EPSTEIN, JEFFREY Reg #: 76318-054 End Date: 07/30/2019 Quarter: Z04-206LAD Active Prescriptions Omega 3 (Vas
Sex: M Race: WHITE Facility: NYM Provider: Joaquin, Y. MLP Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing Exam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not app
Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number. 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Namerfltle of Person Completing Form:
Facility: NYM Encounter Date: 07/23/201906:20 Provider. MLP Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing Fxam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not app
lowing my expressed wishes and directions. ,b){6); (b)(7}(C) 7-24-2019 Counseled by Date t'sSig~ Date (b)(6); (b)(7)(C) 1 nature of Wi NYM--NEW YORK MCC (b){6); (b)(7)(C) Page 2501 I BP•A0618 JUN 16 A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE 5: ' 2
07/23/2019 06:20 Exam: Acutely Ill Pulmonary Auscultation Sex: M Race: WHITE Provider: l(bJ(6): (b)(7)(c) I MLP Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing Exam Comments b)(7:(A) ASSESSMENT: Injury, unspecified, T1490 - Current - RIO self inflicted injuries. PLAN: D
Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number. 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Namerfitle of Person Completing Form:
: 07/23/2019 06:20 Provider. Reg #: 76318-054 Facility: NYM Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Fthonchi, Wheezing Fxam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not ap
Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number. 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Namerfltle of Person Completing Form:
: 07/23/2019 06:20 Provider. Reg #: 76318-054 Facility: NYM Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Fthonchi, Wheezing Fxam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not ap
Entities connected to both NEW YORK MCC and Vesicular Breath Sounds Bilaterally

Jeffrey Epstein
PERSONHealth Services
ORGANIZATION
Metropolitan Correctional Center
ORGANIZATION
Ghislaine Maxwell
PERSONFederal Bureau of Prisons
ORGANIZATION
George W. Bush
PERSONPark Row
LOCATIONSpecial Housing Unit
ORGANIZATIONVascepa
ORGANIZATIONOrthopedic/Rheumatology
ORGANIZATION
Department of Justice
ORGANIZATION
Springfield
LOCATIONRobert MD
PERSON
Achilles
PERSONVaricella Series Administration: History Unknown
ORGANIZATIONNew Radiology
ORGANIZATIONSmallpox Series Administration: History
ORGANIZATIONLeon Black
PERSONAAOX3
ORGANIZATIONISNCE
ORGANIZATION