Epstein Secrets

8-054 Ord. Date 07/30/19 14:21 Exp. Date 07/31/19 10:01 NYM 122148- NYM Ord. Date 07/31/19 10:00 Exp. Date 08/07/19 09:59 NYM 122160- NYM EPSTEIN, JEFFREY Medication Orders ~u)(6), (b)(7)(C) Inject regular Insulin subcutaneously per sliding scale: twice daily ... pill line••• for 7 days I

8-054 WHITE NYM Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: Note Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 07/24/2019 15:10 Sex: M Race:WHITE Provider: fb)(6); (b)(7)(C) IMD Admin Note - General Administrative Note encounter performed a

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/26/2019 08:57 Amendment made to this note b-YP,)(6); (b)(7)(C) jMD on 07/2

for Food Service: Yes --- x No Restrictions Comments: N/A ,b)(6); (b)(7)(C) I MLP 07/09/2019 Health Services Staff Date Inmate Name: EPSTEIN, JEFFREY EOW D Reg#: _____ ..__ ___ ~-- - - 76318-054 Quarters: null ALL EXPIRATION DA TES ARE AT 2•1:00 Generated 05/11/2020 09:57 by ~Jb_)(6_), __

A! =Abnormal Critical Page 1 of 3 @ Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Name EPSTEIN, JEFFREY Reg# 76318-054 DOB 01/20/1953 Sex M MPV Neutrophils % Springfield, MO 65807 417-874-1621 Facility MCC New York Order Unit E06-547U Provider rb

P-S489.061 of APR BP-S356.060 SEP 05 MEDICAL TREATMENT R FUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-9-2019 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

Saturday, August 10, 2019, at around 7:37 a.m. Mr. Epstein had been found unresponsive in his cell in the Sp

Richard M. Berman, District Judge Daniel Patrick Moynihan United States Courthouse 500 Pearl Street New York, New York 10007-1312 Re: EPSTEIN, Jeffrev, Federal Register No. 76318-054 United States v. Jeffrey Epstein, 19-cr-00490-RMB Dear Chief Judge McMahon and Judge Berman: U.S. Department of Ju

or 7 days •••pm line•- Insulin Reg {10 ML) 100 UNITS/ML lnj Providersl b)(6); (b)(7)(C) I Time PRN PRN Documentation Codes: ORD = Order I NI = Dose Not Indicated Medication Administration Record JULY 2019 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 NI YJ Re

Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Reg #: 76318-054 Facility

Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Reg #: 76318-054 Facility: NYM U

l Condition: Denied N/A Generated 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM Page 3 of 13 EFTA00045768 Inmate Name: EPSTEIN. JEFFREY Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Reg #: 76318-054 Facility: NYM Unit:

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 Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: 07/09/2019 10:09/

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

• EFTA00045859 BP-S358.060 MEDICAL TREATMENT R FUSAL CDFRM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-9-2019 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

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

: each morning for 7 days "'pill line- Insubn Reg (10 ML) 100 UNITSTAL In PRN Providers: YJ = Joaquin. Y. Documentation Codes: ORD = Order I NI = Dose Not Indicated Registration N: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOS: 01/2O53 Report information is current as of the date and time of printing: 08

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

g for? bays ~pel 1/nr" NTI4 122160. IntaLi, Reg (10 nu3103UNITSAIL et; PRN P7roviders-. YJ = JoaquhriC Documentation Codes: ORD c Order I NI = Dose Not Indicated —Registration $: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report Information Is current as of the dale and time of printing,

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/

days ~NU (8.87/19 8~- 0959 NYM 122160- NYM lose La Reg (10 114)100 UNITS/ML Ln( PF84 -PfovIdersn-YJ = Documentation Codes: ORD = Order I NI = Dose Not Indicated Regclrabon ft 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 0120/53 Kopod information is arrant as of IRS dato end free of printing: 08/100

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

sliding scale: each morning for 7 days —pill line"' 'WWII Deg (10 ML) 100 UNITSML In PAN Providers: YJ - Documentation Codes: ORD = Order I NI = Dose Not Indicated Registration N: 76318-054 Pt. Name: EPSTEIN. JEFFREY DOB: 01/20/53 Report information is current as of the date and time of printing: 0

Page 2448 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/12/2019 13:10 Provider: (b)<5>: (bl(7)<c > MD Exam: Eyes G

ce: Facility: 76318-054 WHITE NYM Page 2468 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: _0

NYM Page 2500 BP-S358.060 SEP05 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

'b)( 6 > (b)(7)(c ) today. Basically following inmate Epstein's suicide, Wardens are defaulting to leaving inma

Page 2448 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race

:59 NYM 122160- NYM Insulin Reg (10 ML) 100 UNITS/ML lnj Providers:j<bl(G); (b)(?)cc; I Time PRN PRN Documentation Codes: ORD = Order I NI = Dose Not Indicated Medication Administration Record JULY 2019 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 .. YJ

2019-05665 Item 9, 13, 17 (partial), 18 (partial) EFTA00073831 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 08/10/2019 07:25 Provider Reg #: 76318-054 M Race: WHITE Facility: NYM RN

NYM EFTA00073871 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: Note Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: Rana. WH ITF 07/12/2019 09:06 Provider: Reg #: Facility: Unit: 76318.054 NYM Z05 Admin Note - Orders encounter performed

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

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

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

t to exemption (b)(6) ; (b)(7)(A) : (b)(7)(C) of the Freedom of Information and Privacy Act Providers: YJ Documentation Codes: ORD = Order I NI = Dose Not Indicated Registration F. 76318-054 Pt. Name: EPSTEIN. JEFFREY DOB: 01/20153 Report information is current as of the date and time of printing: 0

19 22:41. Bureau of Prisons - NYM EFTA00110404 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 Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: ML

ed Registration 4: 76318-054 Pt. Name: EPSTEIN. JE'FFREY DOW 0120/53 Report information is current

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

ding seal*: each morning for 7 days "'pill boe••• Ineutn Reg (10 MLI 100 UNITSAIL inj PRN Providers: YJ = Documentation Codes. ORD = Order I NI = Dose Not Indicated Registration 4: 76318-054 Pt. Name: EPSTEIN. JE'FFREY DOW 0120/53 Report information is current as of the date and time of printing: 08

s NYM CONFIDENTIAL SONY 00009441 EFTA00139346 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

Comments: Generated 07/09/2019 13:03 by =E. MLP Bureau of Prisons - NVM Page 10 of 13 CONFIDENTIAL SDNY_00009437 EFTA00139342 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: MLP Reg #: 76318-054 Facility: NYM Unit: H0

) 100 UNITS/ML In; PRN _ Providers: YJ = Documentation Codes: ORD = Order I NI = Dose Not Indicated Registration U. 76318-054 Pt Name. EPSTEIN, JEFFREY DOS: 01/20/53 Report information is current as 04 the date and time of printing. 08/10/2019 11:02 EST CONFIDENTIAL SDNY_00009448 EFTA00139353

Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Dale of Birth: Sex:

ng scale: each morning for 7 days "'pin One"' InsoLn Reg (10 ML) 100 UNITS/ML In; PRN _ Providers: YJ = Documentation Codes: ORD = Order I NI = Dose Not Indicated Registration U. 76318-054 Pt Name. EPSTEIN, JEFFREY DOS: 01/20/53 Report information is current as 04 the date and time of printing. 08

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

19 22:41. Bureau of Prisons - NYM EFTA00140205 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

ed Registration 4: 76318-054 Pt. Name: EPSTEIN. JE'FFREY DOW 0120/53 Report information is current

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

ding seal*: each morning for 7 days "'pill boe••• Ineutn Reg (10 MLI 100 UNITSAIL inj PRN Providers: YJ = Documentation Codes. ORD = Order I NI = Dose Not Indicated Registration 4: 76318-054 Pt. Name: EPSTEIN. JE'FFREY DOW 0120/53 Report information is current as of the date and time of printing: 08