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ts may be affected In patients with severely advanced Immunosuppresslon. Non-Reactive FLAG LEGEND L=Low LI=Low Critical Fl=High HI=High Critical A=Abnorrnal Al =Abnormal Critical Page 2 of 3 EFTA00049316 Federal Bu Prisons re of au Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M U.S.
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
0.2-51.4 82.5-96.5 27.1-34.9 33.0-37.0 12.0-14.0 130-374 KfuL MbA IL P9 g/dL K/uL FLAG LEGEND L=Low Lt=Low Critical H=I-figh Cntical A=Abnorrnal Al =Abno al Critical Page 1 of 13 EFTA00105052 Federal Bureau of Prisons U.S. Med al Prisons ••• Sensitive But Unclassified ••• Name EPSTEIN,
es from any and all liability for respecting and following my expressed wishes and directions. Counseled by Signature of Witness 7-10-2019 Date Patien Date NYM-NEW YORK MCC EFTA00105080 BP.S358.060 MEDICAL TREATMENT REFUSAL SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF RISONS 7-24-20
4 82.5-96.5 27.1-34.9 33.0-37.0 12.0-14.0 130-374 KfuL MAIL ti P9 g/dL K/uL FLAG LEGEND L=Low Lt=Low Critical H=I-figh H!=High Cntical A=Abnorrnal Al =Abno al Critical Page 1 of MC00000988 EFTA_00000197 EFTA00134732 Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W
ts employees from any and all liability for respecting and following my expressed wishes and directions. RAY 7-10-2019 r\ t Counseled by Date Patien Signature Date Signature of Witness Date NYM—NEW YORK MCC ONY_00001026 EFTA_00000235 EFTA00134770 •• ••. •••••••• •••mm. BP-A0618 A&O D
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PERSONSpecial Housing Unit
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