Epstein Secrets

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/14/2019 17:36 Provider: Beau

19 22:41. Bureau of Pnsons - NYM EFTA00049269 Bureau of Prisons Health Services Inmate Local Hospital Reg ff: 76318-054 Inmate Name: EPSTEIN. JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguard Transfer To: Health Problems Healtbfatiem Hype

n, Y. MLP Total: 1 Generated 08/102019 11:02 by Thomas, Terrance RN/COP/CDC Bureau of Prisons - NYM Page 1 of EFTA00049275 78318-054 EPSTEIN, JEF FREY Madi tion Orders Medication Administration Record JULY 2019 Time 1 2 3 4 5 8 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

- NYM EFTA00049318 8P-S358.GS0 MEDICAL TREATMENT REFUSAL CDFRM SEP GS U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-Z4-20119 Date JEFFREY EPSTEIN 70318.054 , refuse treatment recommended by the Fideral Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY

g on the floor leaning to the side with his eyes opened, but wasn't responding. He stated that the last time he saw him he was snoring really loud. Inmate Epstein stated that he came in from a legal visit at approx. 8:00PM and staff handed him a copy of the Daily News. "Nick" was on the floor reading the Daily

Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REGI176318-05-1 Location of Incident LI Photograph(s) by D. S. JEAN Date and Time of Photo 08:10.20/9 6:49:131 Isit R II ;Ale. At . -S11%

rt MD Us. Eg. Waist Circunt, Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic. Disheveled, Unkejii• '•fi cutely III Nutrition No: Appears On

Begin Date: 07/01/2019 End Date: 07/24/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Date lime Value(%) Air Provider 07/06/2019 21:43 NYM 95 Room Air Kang, Yoon PA-C Orig Entered: 07/06/2019 21:48 EST Kang, Yoon PA-C

Begin Date: 07/01/2019 End Date: 07/24/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Date lime Value(%) Air Provider 07/06/2019 21:43 NYM 95 Room Air Kang, Yoon PA-C Orig Entered: 07/06/2019 21:48 EST Kang, Yoon PA-C Height:

ction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Health Services Staff Joaquin, Y. MLP Inmate Name: EPSTEIN, JEFFREY EDWARD ALL EXPIRATION DATES ARE AT 24:00 Reg #: 76318-054 Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date:

l observation area; he wants a shower and towel; he would like to be housed in the cadre (5S) unit; and would like his property, paper, and a pen. Inmate Epstein's concerns were addressed by this writer and it was explained to him he will not be single-celled or placed in a housing unit for safety and security

NYM EFTA00045710 BP-S358.060 SLP 05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY

Lt. at about 2 AM on 7/23/19 to inform her that Mr. Epstein was being placed on Suicide Watch because he was

obert MD Lae Kg Waist Circum Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed. Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unk cutely III Nutrition No: Appears O Pulmonary

M SDNY_00000942 EFFA_00000 1 5 1 EFTA00134686 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information Is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Healt

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Race: WHITE Reg 4: 76, Facility: Unit: HO 18-05

0200 EFTA00134735 BP-S358.060 MEDICAL TREATMENT REFUSAL COMM SEP C6 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24.2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY

S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 ••• Sensitive But Unclassified "• Name EPSTEIN, JEFFREY Reg IS 76318-054 DOB 01/20/1953 Sex M Facility MCC New York Order Unit E06-547U Provider la filla MD Collected 07/09/2019 13:34 Received 07/10

ain Fxam Comments Follow up evaluation done for inmate Epstein. He does not look In any pain or distress. He s

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encount

4.2 88.1 OA Ku Waist Qircum Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed. Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic. Disheveled, Unke Acutely III Nutrition No: Appears O Pulmonar

.y-1£495 0c:? .001 " %ghl W:t 4 )-2))•Vb 0 EFTA00049614 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein M.E. #: M-19-019432 Autopsy Performed by: Kristin Roman, M.D. Date of Autopsy: 08/11/2019 FINAL DIAGNOSES: I. HANGING: A. LIGATURE FURROW OF

0 EFTA00049624 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY DR. ROMAN ON 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON 8120/2019): Th

NMS v.18.0 EFTA00049624 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY DR. ROMAN ON 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON

of 2 EFTA00049627 BP4358.060 MEDICAL TREATMENT REFUSAL SEP 05 U.S. DEPARTMENT OF JUSTICE CDFRM FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMA

OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein M.E. #: M-19-019432 Autopsy Perf

obert MD Lim Kg Waist Circum Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unk cutely III Nutrition No: Appears Ob Pulmonary

ION Date of entry 09/04/2019 On Saturday July 6,2019, the author, SA and SA were assigned to take custody and transport case subject/defendant JEFFREY E. EPSTEIN to 26 Federal Plaza, Manhattan, NY, incidental to his arrest at TETERBORO AIRPORT, located in Teterboro, New Jersey. This report supplements the ar

K MCC Date EFTA00132690 Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street S nn field, MO 65807 Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M ••• Sensitive But LiLlassified Facility MCC New York Order Uniali m Provider MD Collected 07/0

Lieutenant's Photo Sheet Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident 7.1 Photograph(s) by LI Date and Time of Phol 6:49 AM 1s 44 VII illaor illir 9I EFTA00132727 r'S -

author was seated in the rear passenger left and defendant EPSTEIN was seated as rear passenger right. During the tr

ake custody and transport case subject/defendant JEFFREY E. EPSTEIN to 26 Federal Plaza, Manhattan, NY, incid

88.1 MD Lbs SI g Waist Circum &vat Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unke cutely III Nutrition No: Appears O Pulmonary

July 23, 2019 at approx. 1:27 a.m., the Control Center announced a call for assistance on the Special Housing Unit. Upon my arrival to 9-South, I/M Epstein, Jeffrey #76318-054 was lying on the floor of his cell handcuffed. I assisted with carrying inmate Epstein to HA-Unit on a stretcher, where he was

2019 at approx. 1:27 a.m., the Control Center announced a call for assistance on the Special Housing Unit. Upon my arrival to 9-South, I/M Epstein, Jeffrey #76318-054 was lying on the floor of his cell handcuffed. I assisted with carrying inmate Epstein to HA-Unit on a stretcher, where he was dressed in

NYM EFTA00048398 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: Note Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 07/26/2019 08:57 Sex: Provider: M MD Reg #: Facility: Unit: 76318-054 NYM H01 Cosign Note - Clinical Encounter Cosign encount

Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 08/08/2019 10:02 Provider: PhD/Chief Reg #: 76318-054 Unit Team: 5 Focus of Session Inmate Epstein was seen today for a follow-up session in SHU. Subjective/Objective Presentation Inmate Epstein stated he is feeling okay and has been eating his m

g at about 8:30 AM on 8/01/19 that yesterday when Mr. Epstein was brought back from court the US Marshals aske

88.1 MD Lbs Kg Waist Circum Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unk cutely III Nutrition No: Appears O Pulmonary

/2019 22:41. Burew W ftilscm - WM EFTA00059443 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Healt

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: MLP Facility: N

NYM EFTA00059496 BP-S358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP C6 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24.2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY

ain Fxam Comments Follow up evaluation done for inmate Epstein. He does not look in any pain or distress. He s

h Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/

88.1 MD Lla Kg Waist circum Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed. Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic. Disheveled, Unke Acutely III Nutrition No: Appears O Pulmonar

/2019 22:41. Burew W ftilscm - WM EFTA00105006 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Healt

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Race: WHITE Reg #: 76318-054 Facility: NYM Unit:

NYM EFTA00105055 BP-S358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP CS U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24.2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY

ain Fxam Comments Follow up evaluation done for inmate Epstein. He does not look In any pain or distress. He s

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encount

.2 88.1 Lla Kg Waist circum Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed. Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic. Disheveled, Unke Acutely III Nutrition No: Appears O Pulmonar

BP-5358.050 MEDICAL TREATMENT REFUSAL CDFRM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY

isons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 'a- Sensitive But Unclassified —I Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M Facility MCC New York Order Provider MD Collected 07/09/2019 13:34 Received 07/10/2019 10:44

ter(mild). As per information from custody staff inmate Epstein was found in his cell with a rope around his neck

FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommende

07/30/2019 09:30 NYM 194.2 88.1 MD Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unke cutely Ill Nutrition No: Appears O Pulmonary

BP-S358.060 SEP 05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date I JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY

nseled by Date Pa nt's Sign NYM-NEW YORK MCC Dale EFTA00110342 Federal Bureau of Prisons U.S. Medi **' Sensitive But Unclassified "' Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M Facility MCC New York Order Unit E06-547U Provider MD Collected 07/09/2019 13:34 Received 07/

E FEDERAL BUREAU OF PRISONS 7-24-2019 Date I JEFFREY EPSTEIN 76318-054 , refuse treatment recommende

MD Lb.S. Kg Waist Circurn, Pioxider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic. Appears in Pain. Writhing in Pain. Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unke cutely III Nutrition No: Appears Ob Pulmonary