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Facility: NYM Unit Team: 5 Date: 07/24/2019 09:23 Provider: Ph.D. Watch Start Date: 07/23/2019 01:40 Total Time on Watch: 31 hrs 5 minutes Watch Conducted By: Both inmates and staff Current Mental Status Watch Stop Date: 07/24/2019 08:45 Transfered to Medical Center: No Level of Consciousness: A
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
Provider: Reg It: 76318-054 M Facility: NYM Unit Team: 5 Ph.D. Watch Start Date: 07)23/2019 01:40 Total Time on Watch: 31 hrs 5 minutes Watch Conducted By: Both inmates and staff Current Mental Status Watch Stop Date: 07'24,2019 08:45 Transfered to Medical Center: No Level of Consciousness: A
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-
it Team: 5 Date: 07/24/2019 09:23 Provider: DiMisa, Samantha Ph.D. Watch Start Date: 07/23/2019 01:40 Total Time on Watch: 31 hrs 5 minutes Watch Conducted By: Both inmates and staff Current Mental Status Watch Stop Date: 07/24/2019 08:45 Transfered to Medical Center: No Level of Consciousness: A
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. MD 7-24-2019 Counseled by Date c7a,r =M i
Entities connected to both Watch Conducted and the Bureau of Prisons and Its

Jeffrey Epstein
PERSONSpecial Housing Unit
ORGANIZATIONKosher
ORGANIZATIONPsychology Data System
ORGANIZATIONLeon Black
PERSONMCC-NY
ORGANIZATION
Metropolitan Correctional Center
ORGANIZATIONThe Unit Team and Correctional Staff
ORGANIZATIONMental Health History
ORGANIZATION
Julie K. Brown
PERSONCorrectional Services
ORGANIZATIONthe Lieutenant's Office
ORGANIZATIONPsychology Services
ORGANIZATION
George W. Bush
PERSONCentral Office
ORGANIZATION
Springfield
LOCATIONHealth Services
ORGANIZATIONNEW YORK MCC
ORGANIZATIONRDW-CV
ORGANIZATIONPatien
ORGANIZATION