Epstein Secrets

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

28:51 76318-054 REG REGNO: 76318-054 FUNCTION: PAT DOB/AGE.: 01-20-1953 / 66 NAME.: EPSTEIN, JEFFREY EDWARD R/S/ETH.: W/M/O WALSH: YES RSP..: NYM-NEW YORK MCC MILEAGE.: 5 MILES PHONE: 646-836-6300 FAX: 646-836-7751 ARS ASSIGNMENT..: ESC TRP TO LOC HOSP W/RETN-USM FBI NO..: ARS DATE/TIME...: 08-10-2019/

mily History - Sibling: Number of Siblings: 1 Significant illnesses: Comments: Past Hospitalization: 'Mason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Generated 07/09/2019 13:03 by Joaquin, Y. MLP Bureau of Prisons • NYM Page 7

ing my expressed wishes and directions. BEAUDOUIN, ROBERT MD 7-24-2019 Counseled by Dale Signature of Wine S Date —71,ceock/c 6 6-e6ers /re NYM-NEW YORK MCC 1 EFTA00049727 BP-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISON

mily History - Sibling: Number of Siblings: I Significant Illnesses: Comments: Past Hospitalization: Reason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Generated 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM Page 7

nd following my expressed wishes and directions. BEAUDOUI , ROBERT MD 7-24-2019 Counseled by Date Signature of Witn s Date cG 7 -4;c6e6 tej- NYM-NEW YORK MCC EFTA00045863 BP-S358.060 SLP 05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 Date I, JEF