3
Shared Docs
3
Same-Page
3 / 3
Mentions
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
recommendations.The inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology staff's recommendation that he not be housed in a cell with any inmates identified as at increased risk for
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-
recommendations.The inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology staffs recommendation that he not be housed in a cell with any inmates identified as at increased risk for s
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
recommendations.The inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology staff's recommendation that he not be housed in a cell with any inmates identified as at increased risk for
Entities connected to both the Bureau of Prisons and Its and The Unit Team and Correctional Staff

Jeffrey Epstein
PERSONSpecial Housing Unit
ORGANIZATIONMental Health History
ORGANIZATIONMCC-NY
ORGANIZATIONLeon Black
PERSON
Julie K. Brown
PERSONPsychology Services
ORGANIZATIONCorrectional Services
ORGANIZATIONPsychology Data System
ORGANIZATIONKosher
ORGANIZATION
Metropolitan Correctional Center
ORGANIZATION
George W. Bush
PERSONCentral Office
ORGANIZATIONthe Lieutenant's Office
ORGANIZATIONWatch Conducted
ORGANIZATION
Springfield
LOCATIONHealth Services
ORGANIZATION
Ghislaine Maxwell
PERSONPark Row
LOCATIONNEW YORK MCC
ORGANIZATION