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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.
ion HI must be signed by the prisoner. If prisoner 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. Prisone
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
on III must be signed by the prisoner. If prisoner 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. Prison
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
t Section HI must be signed by the prisoner. 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. Priso
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.
on III must be signed by the prisoner. If prisoner 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. Prison
Entities connected to both Copy of Complaint and the Office of Interagency Medical Services

Department of Justice
ORGANIZATIONPrisoner Services Division
ORGANIZATION
Jeffrey Epstein
PERSONSouthern District
LOCATIONUnited States Marshals Service
ORGANIZATIONControl as Remanding Receipt
ORGANIZATIONOPTIONAL
ORGANIZATIONNO PROPERTY NO PROPERTY NO
ORGANIZATIONUSMS 312
ORGANIZATIONArrest Warrant
PERSONMarshals Service
ORGANIZATIONBooking Package
ORGANIZATIONK Correctional
ORGANIZATIONAttache
ORGANIZATIONBirth SSN
PERSONECK ATEGORY OF CHARGES(S
ORGANIZATIONPrisoner Medical Records Release Form
ORGANIZATIOND O.B.
ORGANIZATION
United States
LOCATIONREMANDS
ORGANIZATION