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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
lease 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 Date ( Patien 8ignifure Date S Date NYM-NEW YORK MCC EFTA00050874 BP-A0818 JUN 18 U.S. DEPARTMENT OF JUSTICE A
-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
lease 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 atier Counseled by Date P ature Date Signature of Witness Date NYI3/41-NEINYORK MCC EFTA00049322 BP.S358.060 MEDICAL TREATMEN
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
lease 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 Date Patien Signature Signature of Witness Date NYM-NEW YORK MCC Date EFTA00045625 Medical Records request Tor Inm
Entities connected to both NEW YORK MCC and S. X-RAY

Jeffrey Epstein
PERSON
Metropolitan Correctional Center
ORGANIZATION
Ghislaine Maxwell
PERSON
George W. Bush
PERSONSpecial Housing Unit
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATIONHealth Services
ORGANIZATION
Springfield
LOCATIONPark Row
LOCATIONPatien
ORGANIZATIONOrthopedic/Rheumatology
ORGANIZATIONVascepa
ORGANIZATIONRDW-CV
ORGANIZATIONRobert MD
PERSONLeon Black
PERSONTOPROL
ORGANIZATIONSmallpox Series Administration: History
ORGANIZATIONVaricella Series Administration: History Unknown
ORGANIZATIONPill Line
PERSON
Julie K. Brown
PERSON