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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
ations, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO 'Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. 7-24-2019 Counseled by Dale a is Sign NYM
ansaction Date Loa Trans Types Amount Reg * Inmate Nm Address City St Zip Phone • 7/8/2019 10:04:21 AM NYM Western Union $200.00 76318054 EPSTEIN: JEFFREY 130 EAST 75TH NEW NY 10021 9174147584 STREET YORK 716/201910:04:20 AM NYM Western Union $200.00 76220054 RUGARD, RUBEN 130 EAST 75TH
019 12:47 EST MM. MLP Total: 1 Generated 08/10/2019 11:02 by RN/IO PIIDC Bureau of Prisons - NYM Page 1 of 1 EFTA00050796 7631D064 EPSTEIN, JEF FREY Madimtian Orders Time 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Medication Administration Record
S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 '" Sensitive But Unclassified •-• Name EPSTEIN, JEFFREY Reg A 76318-054 DO8 01/20/1953 Sex M Facility MCC New York Order Un Provider MD Collected 07/09120t9 13:34 Received 07/10/2019 10:44 Reported 0
EFTA00050839 8P-S358.080 MEDICAL TREATMENT REFUSAL CDFRM SEP 0.5 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF )'RISONS 7-24-20119 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Fideral Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY
comfort. Denies any respiratory problem. Has another small erythema on left knee about 2cm In diameter(mild). As per information from custody staff Inmate Epstein was found in his cell with a rope around his neck arid sitting on the floor. Inmate is currently placed on suicide watch. ASSESSMENT: Injury, uns
tions, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental con Dion, and release the Buroau of Prisons and Its employees from any and all liability for respecting and following my . . .t::.:.o .•: , • II gilt • I NYM-NEW YORK MCC EFTA00050840 BP.A061
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
/2019 22:41. Burew W ftilscm - WM EFTA00132608 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
5 ED-1036 (Rev. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Title:(U) Medical Notes Regarding Jeffrey Epstein Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Date: 09/06/2019 Synopsis:
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/
ations, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO 'Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. 7-24-2019 Counseled by Dale e a is Sign
/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/
ations, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. MD 7-24-2019 Counseled by Date Signature
/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
ations, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. 7-24-2019 Counseled by Date a** si .nature
Entities connected to both Jeffrey Epstein and the Buroau of Prisons and Its

Ghislaine Maxwell
PERSON
George W. Bush
PERSONFederal Bureau of Prisons
ORGANIZATION
Metropolitan Correctional Center
ORGANIZATIONSpecial Housing Unit
ORGANIZATION
Springfield
LOCATIONJoaquin
PERSONVesicular Breath Sounds Bilaterally
PERSONVascepa
ORGANIZATION
Mount Sinai Hospital
ORGANIZATIONNEW YORK MCC
ORGANIZATION
Achilles
PERSONOrthopedic/Rheumatology
ORGANIZATIONRDW-CV
ORGANIZATIONSmallpox Series Administration: History
ORGANIZATIONAAOX3
ORGANIZATIONNew Radiology
ORGANIZATIONVaricella Series Administration: History Unknown
ORGANIZATIONL Lip
LOCATIONPHILIPS RESPIRONICS
ORGANIZATION