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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
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 5X re 5 tions. 7-24-2019 unse Date NYM-NEW YORK MCC EFTA00110337 BP-S35
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
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. ESGUERRA, S. X-RAY 7-10-2019 Counseled by
-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
ions, 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 Counseled by
g my expressed wishes and directions. MD 7-24-2019 Counseled by Date Patient's Sign Date ElMille! t 4 Si nature of VVitne j fe ," r NYM--NEW YORK MCC f/re-cie- EFTA00048526 BP-5353.0€0 Sit, C5 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 D
ions, 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. Counseled by Date Signature of Witne ^ Dat
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
ions, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical andfor 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. ID 7-24-2019 Date NYM--NEW YORK MCC 7re-
Pharmacy Dispensings: 21 tab in 286 days Generated 05/ 11/2020 09:57 bf b)(6); (b)(7)(C) IOGC Bureau of Prisons - DAN Page 1 of 2 Complex: NYM--NEW YORK MCC Begin Date: 07/06/2019 Inmate: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Active Prescriptions Omega 3 (Vascepa) 1 GM Capsule Take two capsules
ions, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical andfor 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. b)(6), (b)(7)(C) 7-24-2019 Date Date b)(6
Entities connected to both NEW YORK MCC and the Bureau of Prisons and Its

Jeffrey Epstein
PERSON
Metropolitan Correctional Center
ORGANIZATIONSpecial Housing Unit
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATION
George W. Bush
PERSON
Ghislaine Maxwell
PERSONHealth Services
ORGANIZATION
Springfield
LOCATION
Department of Justice
ORGANIZATIONPark Row
LOCATIONOrthopedic/Rheumatology
ORGANIZATIONRDW-CV
ORGANIZATIONPill Line
PERSONPatien
ORGANIZATIONVascepa
ORGANIZATIONLeon Black
PERSONLow LI
PERSONISNCE
ORGANIZATIONRobert MD
PERSONTOPROL
ORGANIZATION