Epstein Secrets

nlY 141. SNI•i ll 2 (Personal )(isn't). of lkfendant) ‘ledical clearance Ilium licensed physician). it necessary opy of Arrest Warrant. if issued Copy of Complaint. Information. or Indictment. if completed O Copy Of Uletainens). if issued O Copy of Writ. if applicable K Correctional facility discharge papas.

soner refuses to sign, note that in the signature block. All refusals should be immediately reported to the Otftce of Interagency Medical Services. Prisoner Services Division. The completed USM form 552 is to be retained in the prisoner's files, Section I - USMS Prisoner Information I. nisoner Name (Last. First. MO 2 US

fficer Only is cusm-312 (Personal History of Defendant) edical clearance (from licensed physician), if necessary opy of Arrest Warrant. if issued Copy of Complaint. Information. or Indictment. ircompleted 0 Copy of Deuiner(s). if issued O Copy of Writ. if applicable K Correctional facility discharge papers.

soner refuses to sign. note that in the signature block. All refusals should be immediately repotted to the Office of Interagency Medical Services. Prisoner Services Division. The completed USM Form 552 is to be retained in the prisoner's files. Section - USMS Prisoner In formation I. Prisoner Nam (Lass First, SD) :t SM

g (Wirer Only *USM-3I2 (Personal History of Defendant) Medical clearance (from licensed physician). if necessary opy of Arrest Warrant. if issued Copy of Complaint. Information. or Indictment. if completed C3 Copy of Deminerts I. if issued O Copy of Writ. if applicable O Correctional facility discharge papers

soner refuses to sign. note that in the signature block. All (chisels should be immediately reported to the Office of Interagency Medical Services. Prisoner Services Division. The completed USM form 552 is to be retained in the prisoner's files Section I - IBMS Prison( IaforrinatIon I. Prisoner Name (Iasi. Fin'. P11) le

fficer Only 1Sc 1.1SM-312 (Personal History of Defendant) edical clearance (from licensed physician), if necessary opy of Arrest Woman. if issued Copy of Complaint. Information. or Indictment. if completed K Copy of Detainer(s). if issued El Copy of Writ, if applicable D Correctional facility discharge papers

If prisoner reuses to sign, note that in the signalize block. An who& should be immediately repotted to the Office of Interagency Medical Services. Prisoner Services Division. The completed LISM form 552 is to be retained in the prisoners files. Section I -1.1SMS Prisoner Information I. Prisoner Name Mast. NV. MI USMS P

Officer Only 'USM-3 I 2 (Personal History of Defendant) edical clearance (from licensed physician). if necessary opy of Arrest Warranl if issued Copy of Complaint. Information. or Indictment. if compkted O Copy of Detainer(s). if issued K Copy of Writ. if applicable • Correctional facility discharge papers.

soner refuses to sign. note that in the signature block. All refusals should be immediately reported to the Office of Interagency Medical Services. Prisoner Services Division. The completed USM form 552 is to be retained in the prisoner's files. Section 1 - USMS Prisoner Information I. Prisoner Name (Last. Fint MB 12. I