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any and all liability for respecting and following my expressed wishes and directions. MD 7-24-2019 Counseled by Dale Pa nes Sign r Date NYM--NEW YORK MCC EFTA00110339 BF-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS
10/2019 14:46 LIS ID 188191004 I HIV HIV 1/2 Negative Screening test - See confirmatory testing for Reactive results Negative FLAG LEGEND L=Low LI=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 3 of 3 EFTA00110343 Bureau of Prisons Health Services Cosign/Review
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
1201914:46 LIS ID 188191004 HIV HIV 112 Negative Screening test - See confirmatory testing for Reactive results Negative I . FLAG LEGEND L=Low LI=Low Critical H=High HI=High Critical A=Abnormal Al =Abnormal Critical Page 3 of 3 EFTA00050869 Bureau of Prisons Health Services Cosign/Review
-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 Name/Tale of Person Completing Form: Col
6.3 <5.7 SEROLOGY RPR Non-Reactive Results may be affected In patients with severely advanced Immunosuppresslon. Non-Reactive FLAG LEGEND L=Low LI=Low Critical Fl=High HI=High Critical A=Abnorrnal Al =Abnormal Critical Page 2 of 3 EFTA00049316 Federal Bu Prisons re of au Name EPSTEIN, JE
of Prisons and Its employees from any and all liability for respecting and following my expressed wishes and directions. ID 7-24-2019 Date NYM--NEW YORK MCC 7re-cie- EFTA00073976 BP-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL. BUREAU OF
88.2 82.5-96.5 fL MCH 28.8 27.1-34.9 Pg MCHC L 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 Platelet 338 130-374 K/uL FLAG LEGEND L=Low LI=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 1 of 3 EFTA00073970 Federal Bureau of Prisons U.S. Medical Center
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:
"3/uL <5.7 SEROLOGY RPR Non-Reactive Results may be affected in patients with severely advanced immunosuppression. Non-Reactive FLAG LEGEND L=Low LI=Low Critical H=High H!=High Critical A=Abnorrnal Al =Abnormal Critical Page 2 or' 3 EFTA00059494 Federal Bureau of Prisons U.S. Medical Cente
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:
"3/uL <5.7 SEROLOGY RPR Non-Reactive Results may be affected In patients with severely advanced immunosuppression. Non-Reactive FLAG LEGEND L=Low LI=Low Critical H=High H!=High Critical A=Abnorrnal Al =Abnormal Critical Page 2 or' 3 EFTA00105053 Federal Bureau of Prisons U.S. Medi I Prison
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:
"3/uL <5.7 SEROLOGY RPR Non-Reactive Results may be affected in patients with severely advanced immunosuppression. Non-Reactive FLAG LEGEND L=Low LI=Low Critical H=High H!=High Critical A=Abnorrnal Al =Abno-mal Critical Page 2 of 3 SDNY_00000489 EFTA 00000 1 98 EFTA00134733 @ Federal Burea
Entities connected to both NEW YORK MCC and Low LI

Jeffrey Epstein
PERSON
Metropolitan Correctional Center
ORGANIZATION
George W. Bush
PERSON
Ghislaine Maxwell
PERSONFederal Bureau of Prisons
ORGANIZATIONSpecial Housing Unit
ORGANIZATIONRDW-CV
ORGANIZATIONHealth Services
ORGANIZATIONVascepa
ORGANIZATION
Springfield
LOCATIONOrthopedic/Rheumatology
ORGANIZATIONPatien
ORGANIZATIONSmallpox Series Administration: History
ORGANIZATIONPHILIPS RESPIRONICS
ORGANIZATIONVaricella Series Administration: History Unknown
ORGANIZATIONPill Line
PERSONDiscontinued Laboratory
ORGANIZATIONISNCE
ORGANIZATIONTOPROL
ORGANIZATIONNew Radiology
ORGANIZATION