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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
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
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
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
-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
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
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
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 Signature Signature of Witness Date NYM-NEW YORK MCC Date EFTA00045625 Medical Records request Tor Inmate Jeffrey Epstein, Reg. No. 76318-054
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
d 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 Signature of Witness NYM-NEW YORK MCC EFTA00073979
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:
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
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:
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
Entities connected to both NEW YORK MCC and Patien

Jeffrey Epstein
PERSON
Metropolitan Correctional Center
ORGANIZATIONSpecial Housing Unit
ORGANIZATION
George W. Bush
PERSON
Ghislaine Maxwell
PERSONFederal Bureau of Prisons
ORGANIZATIONHealth Services
ORGANIZATION
Springfield
LOCATIONVascepa
ORGANIZATIONRDW-CV
ORGANIZATIONPark Row
LOCATIONOrthopedic/Rheumatology
ORGANIZATIONISNCE
ORGANIZATIONTOPROL
ORGANIZATIONLeon Black
PERSONPill Line
PERSONLow LI
PERSONSmallpox Series Administration: History
ORGANIZATIONDistre ed
PERSONVaricella Series Administration: History Unknown
ORGANIZATION