Epstein Secrets

decedent that I have been authorized to remove. Released B : Released To: (Mortuary Technician) (Forensic Quality Specialist) 13247 Schubert, Stephen (Funeral Director) (License No.) EFTA00130108 FUNERAL DIRECTORS STATEMENT OF Avon:May Ti,,, matemem rs mute kr the Pee,01.0 of inONing he hossou

care in last 33 days 72 Yes No U Papitil in-pabent HeepiW ED/ outpatient U •losp COA C Other. specify: J J Nursing hone/long teem care Hospice rickey Decedent's residence DAM AND HOUR Of MAIM: 08/10/2019 7:36 AM Unk INJURY: Date Time: AM PM AT WORK J YES U NO TYPE OF PLACE:Irk

d to remove. Released By: Released To: Demon, Sneyder (Monitory Technician) Verified by: NI udd, Joel (Forensic Quality Specialist) Schubert, Stephen (Funeral INrector) (License No.) EFTA00063555 RAOUL DIRECTOR'S STATIMENT OF AUTHORITY Ten lini (nal it reads 1w tae purpose el inclatota the hmc

r: O Recent hospitalizations or travel: if yes, where and when: O Dentist name/address): O Tattoos or scars (e.g., old surgery), describe: 0 Any Hospice care in last 30 days? If so, where: High blood pressure Heart problems Diabetes Seizures Lung problems Tuberculosis Tobacco use Brain infecti

been authorized to remove. Released By: Released To: (Mortuary Technician) Verified by: Mu , oe (Forensic Quality Specialist) 13247 Schubert, Stephen (Funeral Director) (License No.) EFTA00133129 " • EFTA00133130 FUNERAL DIRECTOR'S STATEMury OF AUTHORITY Inn statement s mode ice de purpose

last 93 days Yes ijb• No u NO U. 0 Hospital In-patient Hospital ED/outpatient Hoop DOA Other specify: u U U Nursing harnMong term care Hospice facity Decedents resktence DATE AND HOUR OF DEATH: 08/10/2019 7:36 AM u Unk INJURY: Date Time: AM PM AT WORK U YES U NO TYPE OF PIACE

n Should Test Accountable Care KP Organizations, Stephen Shortell, Lawrence P. Casalino and Elliott S. Fis

Optional Services Prescription drugs Dental services Rehabilitation and other therapies Prosthetic devices, eyeglasses, durable medical equipment Hospice services Inpatient psychiatric hospital services for individuals under age 21 e Other specialist medical or remedial care Note: Supplementary Sec