Epstein Secrets

t:Ikle lem mottoa:omsatte tla decollant Mein trensperted to tie ~cal ExteCnive Dttica. Version LO Lut sevised MAX& e..7r ii•eiteent L 2018 8504592 EPSTEJN, JEFFREY 08/10/2019 Tole 01/20/1953 M 421948243 07 27AM 0 M EFTA00063554 DEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFICE OF CHIEF MEDICAL E

ice of the Chief Medical Examiner: M19-19432 I am writing to request the complete Medical Examiner's case file associated with the death of inmate Jeffrey Epstein, Metropolitan Correctional Center, New York, Federal Bureau of Prisons. Specifically, please provide the OIG with a copy of the complete Medical Exa

g the examiner's notes, any associated reports, photos, evidence, x-rays, and any other documentation utilized by the Medical Examiner to determine Epstein's cause of death. Please provide the documentation digitally to Special Agent Office of the Inspector General, U.S. Department of Justice, a or v

copies provided here represent all requested documents which are contained in: OCME medical examiner case file #: M-19-019432 concerning decedent: Jeffrey Edward Epstein K OCME forensic biology case file #: I have examined the original records maintained by OCME's Records and I attest that the records attached to t

0 EFTA00063528 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 8/20/2019): Th

9-03508-001 W Typo: FT'R43334:600 Bid Source: PamOral M.E. CAS"' M-19-019432 DATE OF DEATIt 08/10/2019 7:36 AM NAME OF DECEDENT: Epstein, Jeffery Ape 86 Years Race White hoc F N AUTOPSY U NOAUTOPSY (Exam} U PURSUANT TO UAW • a MEOICAL EXAMINER: Dr. Roman, Kristin ME EXAM DATE: 0

isse Matins Page 5 of 5 EFTA00063550 Notice of Death Borough: Manhattan Report Date: 08/10/2019 Time: 08:31 polo M-19-019432 Name: Epstein, Jeffrey Edward Sex: Male Race• White Place of Death: 170 William Street, New York, NY 10038 Cross Street: Current Location of Decedent: Veteran: No Age: 66 Years

n inmate. Control called for ambulance 6:40 am: , AW notified 6:45 am: EMS arrives, paramedics continue CPR. Inmate Epst in remains unresponsive. Inmate Epstein is intubated, given t ree rounds of Epinephrine, IV access started, IO initiated. No pulse found, no shock advised, inmate prepared for transport t

dent 08/10'2019 6:33 AM Inmate Name / Reg. No. EPSTEIN JEFFERY REG#76318-054 Location of Incident Z.4 Photogr

ution count announced 758 72/5 6:33 AM on Board at approximately 5:30am relievidg Lt o duty. Medical emergency announced for Unit 9 South inmate Epltein #76318-054 found unresponsive in cell 106-220 CPR in progress 6:35 AM 911 Emergency service notified 6:43 AM E.M.S ambulance arrives to the Health

Field Office EFTA00063517 OFFICE OF CHIEF MEDICAL EXAMINER OF THE CITY OF NEW YORK CERTIFICATION AS A BUSINESS RECORD I have been delegated by Barbara A. Sampson, M.D.- Ph.D., Chief Medical Examiner, to certify and authenticate records of the Office of Chief Medical Examiner of the City of New York ("OCME")

uant to Rule 4518 of the New York Civil Practice Law and Rules. OCME has been ordered to produce certified copies of documents concerning decedent, Jeffrey Edward Epstein ME # M19-19432 OCME is a governmental office organized under the New York City Charter § 557 and the New York City Administrative Code §§17-201 -

0 EFTA00130085 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. ON 811112019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. WITH DR. IN ATTENDANCE, ON 8120/2019): The unfixed brain wei

NMS v.18.0 EFTA00130085 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. ON 811112019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. WITH DR. IN ATTENDANCE, ON 8120/2019): The u

Y, "; _ _ S rt 4417‘ r-ri-lk gt5T GO- MSS— EXAMINED ay DR. DATE <6- AI. /20(c) EFTA00130092 esm ice chi Cztr- , Mde d Diadem Epstein, Jeffery wsitc\tie keiticufri El•Idge ILLS: M-19-019432 Din: EFTA00130093 OFFICE OF CHIEF MEDICAL EXAMINER THE CITY OF NEW YORK - e 0 Nr or Demea

sitc\tie keiticufri El•Idge ILLS: M-19-019432 Din: EFTA00130093 OFFICE OF CHIEF MEDICAL EXAMINER THE CITY OF NEW YORK - e 0 Nr or Demean: Epste Jeffery MEI M-19-019432 l sm coLon: WWII, TIMM' Pr TI OR Weintri leit IA ClitEI TES: AMES Ti_ Virki Torso: Ara Gamma& J r ) 1 ..„.

to report the number and a Lieutenant can only sign off on the count sheet when the number on the count sheet matches the number on the IN sheet. JEFFREY EPSTEIN (EPSTEIN, previously identified) was housed in SHU. EPSTEIN met with his lawyers everyday between 8am and 8pm on the third floor of MCC. was not pr

on inmate. Control called for ambulance 6:40 am: AW notified 6:45 am: EMS arrives, paramedics continue CPR. Inmate Epst in remains unresponsive. Inmate Epstein is intubated, given t ree rounds of Epinephrine, IV access started, IO initiated. No pulse found, no shock advised, inmate prepared for transport t

unced 758 72/5 Lieutenant on Board at approximately 5:30am relievi of duty. . g Lt 6:33 AM Medica emergency announced for Unit 9 South inmate Epltein #76318-054 found unresponsive in cell 206-220 CPR in progress 6:35 AM 911 Emergency service notified 6:43 AM E.M.S ambulance arrives to the Health

AL EXAMINER OF THE CITY OF NEW YORK STATE OF NEW YORK ) SS.: COUNTY OF NEW YORK ) CERTIFICATION AS A BUSINESS RECORD I have been delegated by Barbara A. Sampson, M.D.-Ph.D., Chief Medical Examiner, to certify and authenticate records of the Office of Chief Medical Examiner of the City of New York ("OCME") p

This memo summarizes the psychology contacts with Mr. Epstein. Mr. Epstein arrived on July 8, 2019, and was se

M-19-019432 JEFFREY EDWARD EPSTEIN Page 5 similar, % x W, faint, red contusion. Internally, there is a deep muscle hemorrhage of the left deltoid muscle. INTERNAL EXAMINATION: HEA

70 EFTA00137983 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. ON 811112019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. WITH DR. IN ATTENDANCE, ON 8/20/2019): The unfixed brain wei

5 Page 070 EFTA00137983 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. ON 811112019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. WITH DR. IN ATTENDANCE, ON 8/20/2019): The u

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3 AM Medical emergency announced for Unit 9 South inmate Epstein #76318-054 found unresponsive in cell Z06-220 CP

M-19-019432 JEFFREY EDWARD EPSTEIN Page 5 similar, % x W, faint, re

signed by on Aug 20, 2019 05:41:27 PM SDNY_00014096 Page 0/ EFTA00137984 OFFICE OF CHIEF MEDICAL EXAMINER 520 First Avenue, New York, NY 10016 Barbara A. Sampson, MD-Ph.D., Chief Medical Examiner Department of Forensic Pathology Forensic Anthropology Unit (212)447-2763 [email protected] M-19-19432

EFTA00133090 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 Ma 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON 8/20/2019): The unfixed

00133084 FORENSIC TOXICOLOGY LABORATORY THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER 520 FIRST AVE NEW YORK, NY 10016 Decedent Name : Jeffrey Edward Epstein Laboratory No : FT19-03508 Medical Examiner :00IIME ME Case No : M-19-019432 Examination Date : 8/11/2019 Specimen Type : Blood(Femoral): FT19-0

A00133089 EFTA00133090 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 Ma 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON 8/20/201

T: M.E. CASE # Ig•tt- 2_ t - °Jut, aluie.-/ b./4-51.2f Mikkivai s EXAMINED DY DR DATE / /2011 EFTA00133102 MIK of Decevern. Epstein, Jeffery fil1.110 N.L.N-12-0124 2 I.( 1 EFTA00133103 OFFICE OF CHIEF MEDICAL EXAMINER THE CITY OF NEW YORK AUTOPSY NOTES Slw-fr or DC Epstei Jeffe

to report the number and a Lieutenant can only sign off on the count sheet when the number on the count sheet matches the number on the El sheet. JEFFREY EPSTEIN (EPSTEIN, previously identified) was housed in SHU. EPSTEIN met with his lawyers everyday between 8am and 8pm on the third floor of MCC. was not pr

n inmate. Control called for ambulance 6:40 am: , AW notified 6:45 am: EMS arrives, paramedics continue CPR. Inmate Epst in remains unresponsive. Inmate Epstein is intubated, given t ree rounds of Epinephrine, IV access started, IC initiated. No pulse found, no shock advised, inmate prepared for transport t

ates of treatment: Signature /Yid flizil• Relationship e-A 42' Date EFTA00133111 • . EFTA00133112 NYC Office of Chief Medical Examiner Barbara A. Sampson, M.D.-Ph.D. Chief Medical Examiner Name of Decedent: Report Dale .4 Time: Place of Death: 421E 28th Street Medico-Legal investigations New Yak

.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

ically signed by Rebecca Folkerth on Aug 20, 2019 05:41:27 PM EFTA00049625 OFFICE OF CHIEF MEDICAL EXAMINER 520 First Avenue, New York, NY 10016 Barbara A. Sampson, MD-Ph.D., Chief Medical Examiner Department of Forensic Pathology Forensic Anthropology Unit (212)447-2763 [email protected] M-19-19432

TIGATION Date of entry 09/10/2019 On August 28, 2019, Task Force Officer Detective obtained a certified copy of the finalized autopsy report of JEFFREY EDWARD EPSTEIN, Case No. M-19-019432, from the Office of the Chief Medical Examiner of the City of New York (OO4E). According to the OCME autopsy report, the caus

9-019432, from the Office of the Chief Medical Examiner of the City of New York (OO4E). According to the OCME autopsy report, the cause of death of EPSTEIN was hanging and the manner of death was suicide (hanged self). A digital copy is attached to this report and the certified hardcopy is in a physica

ed By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On

ed By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis:

EXAMINER OF THE CITY OF NEW YORK STATE OF NEW YORK ) ) SS.: COUNTY OF NEW YORK ) CERTIFICATION AS A BUSINESS RECORD I have been delegated by Barbara A. Sampson, M.D.-Ph.D., Chief Medical Examiner, to certify and authenticate records of the Office of Chief Medical Examiner of the City of New York ("OCME") p