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ts: Family History - Sibling: Number of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: Reason Location Acute Appendicitis Mount Sinai Hospital Complications: None Comments: Head: Normal: Yes Comments: When 1990 Generated 07/0912019 13:03 by MLP Bureau of Prisons NYM Pale 7 of 13
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
2 mentions1 same-page
Page ?Same page
of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: on Speaking/Listening English None Reason Location Acute Appendicitis Mount Sinai Hospital Complications: None Comments: Head: Normal: Yes Comments: When 1990 Ger-waled 07/C9/2019 13.03 by MLP Bureau of Prisons • NYM Page 7 of 13
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
2 mentions1 same-page
Page ?Same page
of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: on Speaking/Listening English None Reason Location Acute Appendicitis Mount Sinai Hospital Complications: None Comments: Head: Normal: Yes Comments: When 1990 Ger-waled 07/C9/2019 13.03 by MLP Bureau of Prisons • NYM Page 7 of 13
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
Sponsored
2 mentions1 same-page
Page ?Same page
of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: on Speaking/Listening English None Reason Location Acute Appendicitis Mount Sinai Hospital Complications: None Comments: Head: Normal: Yes Comments: When 1990 Ger-waled 07/C9/2019 13.03 by Bureau of Prisons • NYM Page 7 of 13 EFT
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
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Mutual Connections (84)
Entities connected to both Mount Sinai Hospital and the Buroau of Prisons and Its
Jeffrey Epstein
PERSON44 w/ Mount·5 w/ the
Ghislaine Maxwell
PERSON23 w/ Mount·5 w/ the
George W. Bush
PERSON18 w/ Mount·5 w/ the
Vascepa
ORGANIZATION12 w/ Mount·5 w/ the
VB
Vesicular Breath Sounds Bilaterally
PERSON11 w/ Mount·5 w/ the
New Radiology
ORGANIZATION11 w/ Mount·5 w/ the
Achilles
PERSON11 w/ Mount·4 w/ the
Varicella Series Administration: History Unknown
ORGANIZATION11 w/ Mount·4 w/ the
Smallpox Series Administration: History
ORGANIZATION11 w/ Mount·4 w/ the
Discontinued Laboratory
ORGANIZATION8 w/ Mount·5 w/ the
AAOX3
ORGANIZATION8 w/ Mount·5 w/ the
ROS Comments
ORGANIZATION8 w/ Mount·5 w/ the
RDW-CV
ORGANIZATION8 w/ Mount·5 w/ the
Orthopedic/Rheumatology
ORGANIZATION9 w/ Mount·3 w/ the
Sickle Cell Trait/Disease
ORGANIZATION8 w/ Mount·4 w/ the
PHILIPS RESPIRONICS
ORGANIZATION7 w/ Mount·5 w/ the
LL
Low LI
PERSON6 w/ Mount·5 w/ the
Special Housing Unit
ORGANIZATION8 w/ Mount·3 w/ the
HYPERT
ORGANIZATION6 w/ Mount·5 w/ the
Metropolitan Correctional Center
ORGANIZATION7 w/ Mount·4 w/ the