Epstein Secrets

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and its employees from any and all liability for respecting and following my expressed wishes and directions. X-RAY 7-10-2019 Counseled by Date Patien Signature Date 1 11 Wilii - ( 0 ( gna ure o Mess Date NYM-NEWYORK MCC EFTA00110338 I I I. BP-5358.060 MEDICAL TREATMENT REFUSAL CDFRM

institution: MCC NEW YORK • PDF Proscesod by RAM Replaces Bp-male of JUN 10 EFTA00050866 SP-A0818 A&O DENTAL EXAMINATION JUN 16 (initial Clinical Dental Findings) U.S- DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Ocdus!on: 5 1 2 3 4 5 8 7 e 0 10 11 12 13 14 15 18 § —2 3 31 30 28 28 27 28 25 212

s 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 8ignifure Date S Date NYM-NEW YORK MCC EFTA00050874 BP-A0818 JUN 18 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (tnittil Clinical D

ature of Wines Date re‘ ee.tes p /res:ice a is Sign NYM--NEW YORK MCC Date ; EFTA00049323 BP-A0618 A&O DENTAL EXAMINATION JUN 16 (initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Occlusion: • 1 2 3 4 5 8 7 6 9 1011 --- 32 CC 31 30 28 28 27 2825 24 23 22 1213 14

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

by Date a** si .nature of Witne s Date a is Sign NYM -N EW YORK MCC Date EFTA00105056 BP-A0618 A&O DENTAL EXAMINATION JUN 18 (initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Occlusion: 1 2 3 4 5 — 7 8 9 10 11 12 13 11 15 18 32 31 30 28 28 27 28 25 21 23 22 2

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