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/20/1953 Sex: M Race: WHITE Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Facility: NYM Cosigned byl on 07/14/2019 18:12. Bureau of Prisons - NYM CONFIDENTIAL SDNY_00009381 EFTA00139325 BP-S358 C50 MEDICAL TREATMENT REFUSAL CDFRM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRI
risons and its employees from any and all liability for respecting and following my expressed wishes and directions. Counseled by 7-10-2019 Date Patien Signature Signature of Witness Date NYM-NEW YORK MCC Date CONFIDENTIAL SDNY_00009385 EFTA00139329 BP-A0618 JUN 16 U.S. DEPARTMENT OF JUST
uency Lab Tests-H-Hemoglobin A1C One Time Lab Tests-L-Lipid Profile Additional Information: C000rated 07/14/2019 18:11 by Beaudou!n. Robert bAD Bureau of Prisons - NYM Due Datq 10/10/2019 00:00 Routine TAKE 2 CAPS Qrally - Two Times a Day x 1 dey(s) — TAKE WITH F Page 2 of 3 EFTA00049263 Inmate Name: EPSTE
llowing my expressed wishes and directions. ESGUERRA, S. X-RAY 7-10-2019 Counseled by Date cir bicSit.:- -7- to - Signature of Witness Date Patien Sign Lure Date NYM-NEW YORK MCC EFTA00049332 BP-A0818 JUN 18 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION plait Clinigal Dental Findin
ported to Local ER with CPR in progress. OBJECTIVE: Exam: General Appearance Yes: Unconscious Generated 08/10/2019 08:10 by Columbo, Joseph RN Bureau of Prisons - NYM Page 1 o' 2 EFTA00049641 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM
yees 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 SignatTure Date s-68}-ur "7- to - Signature of Witness Date NYM-NEWYORK MCC EFTA00049629 BP-5356.060 MEDICAL TREATMENT REFUSAL CDFRM SEP
Entities connected to both Bureau of Prisons - NYM and Patien

Jeffrey Epstein
PERSONHealth Services
ORGANIZATIONSpecial Housing Unit
ORGANIZATION
Metropolitan Correctional Center
ORGANIZATIONVesicular Breath Sounds Bilaterally
PERSONFederal Bureau of Prisons
ORGANIZATION
George W. Bush
PERSON
Ghislaine Maxwell
PERSONLeon Black
PERSONPsychology Data System
ORGANIZATIONMCC-NY
ORGANIZATIONOrthopedic/Rheumatology
ORGANIZATIONCentral Office
ORGANIZATION
Springfield
LOCATIONKosher
ORGANIZATIONWatch Conducted
ORGANIZATIONVascepa
ORGANIZATION
Julie K. Brown
PERSONThe Unit Team and Correctional Staff
ORGANIZATIONMental Health History
ORGANIZATION