Epstein Secrets

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

tions, 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 5X re 5 tions. 7-24-2019 unse Date NYM-NEW YORK MCC EFTA00110337 BP-S35

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

tions, 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. ESGUERRA, S. X-RAY 7-10-2019 Counseled by

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

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. BEAUDOUI , ROBERT MD 7-24.2019 Counseled by

d 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 Signature of Witness NYM-NEW YORK MCC EFTA00073979

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-

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 of Witness Date NYM-NEW YORK MCC Date EFTA00132696 1 2 3 4 5 6 7 6 0 10 11 12 13 14 15 16 S2 32 31 30 20 26 27 28 25 24 23 22

ns, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental c • ndition, and release the Bureau of Prisons and Its employees from any and all liability for respecting and •!lowing my expressed wishes and directions. MD 7-24-2019 Counseled by Date Pa l's Sig