Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/14/2019 17:36 Provider: Beaudouin, Robert MD Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraccular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/Ft/G Abdomen Auscultation Yes: Normo-Active Bowel Sounds Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: RFS Medication Order Date Omega 3 ( Vascepa) 1 GM Capsule 07/14/2019 17:36 Indication: Hyperlipidemla, unspecified New Laboratory Requests: Details Frequency Lab Tests-H-Hemoglobin A1C One Time Lab Tests-L-Lipid Profile Additional Information: C000rated 07/14/2019 18:11 by Beaudou!n. Robert bAD Bureau of Prisons - NYM Due Datq 10/10/2019 00:00 Routine TAKE 2 CAPS Qrally - Two Times a Day x 1 dey(s) — TAKE WITH F Page 2 of 3 EFTA00049263

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07114/2019 17:36 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin, Robert MD Unit: 205 FASTING. Lab Tests-H-Hep B surface Ab Lab Tests-H-Hep B surface Ag Lab Tests-H-1-lep C Ab Lab Tests-H-Hepatic Profile Schedule: Activity Date Scheduled Scheduled Provider Clinical Encounter 0724/2019 00:00 Optometrist 66 YR OLD MALE FOR ROUTINE SCREENING. Chronic Care Visit 01/07/2020 00:00 Mid-Level Provider 6 MONTH F/U. Chronic Care Visit 07/01/2020 00:00 Physician 01 Other: One Time 08/08/2019 00:00 Routine PENDING EKG AND FOBT. CXR WAS REFUSED. Patient Education Topics: Pate Initiated Format Hand MitiTO0 la 07/1412019 Counseling Diagnosis Copay Required: No Cosign Required: No TelephoneNerbai Order NO Completed by Beaudouin, Robert MD on 07/14/2019 18:11 Provider Beaudouin, Robe Outcome Verbalizes Understanding Generated 07/14/2019 18:11 by Beaudostn, Robert Mn Bureau of Prisons - NYM Peps 3d 3 EFTA00049264

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Reg ft: 76I18-054 Facility: NYM Unit: H0$ Thorax: Contour Normal:Yes Increased AP Diameter: No Asymmetrical Expansion:No Lungs Clear: Yes Wheezes: No Crackles:No Rhonchl: No Rates: No Accessory Muscle Use: No Comments: Spine: Deformity: No Full ROM:Yes Tenderness:No Comments: Cardiovascular. RRR: Yes Normal S1152: Yes Murmurs: No Carotid Brults:No JVD: No Arteries: Right Left Radial: Femoral: Dorsalis Pedls: Post. TIblalls: Comments: Generated 07/0872019 13:03 by Joaquin. Y. MLP Bureau of Prisons - NYM Pago 10 of 13 EFTA00049265

Inmate Name: EPSTEIN, JEFFREY EOWARO Reg #: 7 Date of Birth: 01120/1953 Sex: M Race: WHITE Facility: N Encounter Date: 07109/2O19 12:35 Provider: Joaquin, Y. MLP Unit: 318-054 M Abdomen: Normal Contour:Yes Scephold: No Obese: No Gravid: No Hernias: No Bruits: No Masses:No Scam: No Tenderness: No Organomegaly: No Active Bowel Sounds: Yes Comments: Extremities: Nails Clubbing: No Nails Cyanosis: No Lower Extremity Edema • Right: None Lower Extremity Edema - Left: None Atrophy: No Amputations: No Other Deformities: No Varicosities: No Calf Tenderness: No Pulse Deficit: No Strength: Right bell Arm: Leg: Full ROM: Right keft Arm: Yes Yes Leg: Yes Yes Comments: Generated 07:09/2019 13:03 by Joaquin. Y. MS, Bureau or PrLsons - NYM page 11d 13 EFTA00049266

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76018-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Dale: 07/09/2019 12:35 Provider. Joaquin, Y. MLP Unit H01 Reflexes: Edght Loft Biceps: Patellar: Brachloradlalls: Achities: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia: Not Done Comments: Refused. Skin: Normal:Yes Rash: No Redness:No Abnormal Pigmentation: No Abnormal Lesions/Growths: No Comments: Lymphatics: Adenopathy: No Comments: Potential Items For Follow-up: &Air Travel Outside US Other Infectious Disease History Rectum Not Done Male Genitalia Not Done PPD Administration Not Performed Comments: Patient has a history of constipation. Generated 071092019 13:03 by Joaquin. Y. MU" Bureau of Prisons - NYM Paps 12 of 13 EFTA00049267

Inmate Name: EPSTEIN. JEFFREY EDWARD 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: H01 Cleared For Food Services: Yes Health Problems Newly identified During This Encounter. Health Problem Constipation, unspecified - Current - Now Medication Orders: Extt Medication Order Date prescriber Order Bisacodyl E.C. Tablet 07/09/2019 12:35 5 mg Orally at bedtime PRN x 10 day(s) Indication: Constipation, unspecified Disposition: Follow-up at Sick Call as Needed Instructed Inmate how to obtain medical, dental, and mental health care. Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by Joaquin, Y. MLP on 07/09/2019 13:03 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. GenetaloO 07/09/2019 13:03 by Joaquin, MLP Bureau of Prisons - NYM Page 13 of 13 EFTA00049268

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ti: 7618-054 Date of Birth: 01/2011953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MO Facility: NYM Cosigned by Beaudouln, Robert MD on 07/11/2019 22:41. Bureau of Pnsons - NYM EFTA00049269

Bureau of Prisons Health Services Inmate Local Hospital Reg ff: 76318-054 Inmate Name: EPSTEIN. JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguard Transfer To: Health Problems Healtbfatiem Hypertipldemia, unspecified HYPERTRIGLYCERIDEMIA Sleep apnea Essential (primary) hypertension BY HX. Constipation, unspecified Low back pain Neuralgia and neuritis, unspecified No Diagnosis Prediabetes Injury, unspecified R/O self Inflicted Injuries. Body mass index (BMI) 27.0-27.9, adult Transfer Date: 08110/2019 Status Current Current Current Current Current Current Current Current Current Current ed. Medications: All medications to be continued until evaluated by a physician unless otherwise infilcated. Bolded drugs required for transport Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twicedleMyfor30days Docusate Sodium 100 MG Cap Exp: 01/22/2020 SIG: Take one capsule (100 MG) twice daily by mouth with plenty of water Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML Exp: 10/28/2019 SIG: shake well take 10ml by th twice daily AS NEEDED Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by th with food OTCs: Listing of all known OTCs this inmate Is currently taking. None Pending Appointments age 07/24/2019 01/07/2020 07/01/2020 07/09/2020 Ilme 00:00 00:00 00:00 00:00 Activity Clinical Encounter Chronic Care Visit Chronic Care Visit PPD Administration Pending N on-Medlcatton Orders: Order Order Datn Frequency EKG 07/06/2019 One Time Fecal Occult Blood 07/06/2019 One Time TB Clearance: Yes Last PPD Date: 07/09/2019 Qua= Details 66 y/() male 3 different stools Last Chest X-Ray Date: TB Treatment TB Follow-up Recommended: No Sickle Cell: Sickle Cell Trait/Disease: No Provider Optometrist Mid-Level Provider Physician 01 Nurse Induration: 0mm Results: Sx free for 30 days: Yes Generated 08/10/2019 O7:0O by Colombo. Joseph RN Bureau of Prisons - NYM Page 1 of 2 EFTA00049270

Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Limitations/RestrictIons/Dlets: Cell: lower bunk — 10/09/2019 Cleared for Food Service: Yes Other diet restrictions: FISH ALLERGIES. — 07/30/2020 Comments: Allergies No Known Allergies Devices / Equipment C-Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number: 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Name/Tale of Person Completing Form: Colombo, Joseph RN Oat 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 DOB: 01/20/1953 Sr: AA Concealed 0/1V10/2019 07:00 by Caluer.bo, Joseph RN Biltttall of Prisons - NYM Page 2 or 2 EFTA00049271

Bureau of Prisons Health Services Vitals All Begin Date: 07/07/2019 End Date: 08/10/2019 Rog #: 76318-054 Inmate Name: EPSTEIN. JEFFREY EDWARD Temperature: age 7Jm>3 Fahrenheit Celsius 1-s/catkin 07/24/2019 13:12 NYM 97.8 36.6 Oral Orig Entered: 07/2412019 13:14 EST Joaquin, Y. MLP 07/23/2019 06:30 NYM 97.5 36.4 Oral Orig Entered: 07/23/2019 08:33 EST Joaquin. Y. MLP 07/09/2019 12:49 NYM 97.3 36.3 Oral Orig Entered: 07/09/2019 12:51 EST Joaquin, Y. MLP Pulse: Rata Time 07/30/2019 13:02 Rate Per Mintilii 94 Orig Entered: 07/30/2019 13:04 EST 07/30/2019 09:40 88 Orig Entered: 07/30/2019 13:04 EST 07/30/2019 09:30 87 Orig Entered: 07/30/2019 12:59 EST 07/28/2019 20:28 81 Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 82 Orig Entered: 07/28/2019 06:58 EST 07/24/2019 13:12 Orig Entered: 07/23/2019 06:30 Orig Entered: 07/09/2019 12:49 Orig Entered: Respirations: Rata 07/30/2019 83 07/24/2019 13:14 EST 92 07/23/2019 08:33 EST 82 07/09/2019 12:51 EST Time 09:30 NYM Orig Entered: 07/30/2019 12:59 EST 07/28/2019 20:28 NYM Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 NYM Orig Entered: 07/28/2019 06:58 EST 07/23/2019 06:30 NYM Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 NYM Ortg Entered: 07/09/2019 12:51 EST Loyolaa Provider Joaquin, Y. MLP Joaquin, Y. MLP Joaquin, Y. MLP Rhythm Beaudoufn, Robert MD Via Machine Beaudouln, Robert MD Via Machine Beaudouin, Robert MD Columbo, Joseph RN Columba, Joseph RN Via Machine Joaquin, Y. MLP Via Machine Joaquin, Y. MLP Via Machine Joaquin, Y. MLP Bate Per Minute. Provider 12 Beaudouin, Robert MD Beaudouin, Robert MD 14 Columbo, Joseph RN Columbo, Joseph RN 14 Columbo, Joseph RN Columbo, Joseph RN 16 Joaquin, Y. MLP Joaquin, Y. MLP 16 Joaquin, Y. MLP Regular Regular Provider Beaudouin, Robert MD Beaudouin, Robert MD Beaudouin, Rrjbert MD Columbo, Joseph RN Columbo, Joseph RN Joaquin, Y. MLP Joaquin, Y. MLP Regular Joaquin, Y. MLP Joaquin, Y. MLP Genera/1Od 08i1D/2019 11:02 by Thornas, Terrance Thaall of Prisons - NYM Pepe t or 3 EFTA00049272

Begin Date: 07/07/2019 End Date: 08/1012019 Reg #: 76318.054 Inmate Name: EPSTEIN, JEFFREY EDWARD Blood Pressure: Data Time Vatue 07/30/2019 13:02 NYM 114/84 Orig Entered: 07/30/2019 13:04 EST 07/30/2019 09:40 NYM 125/60 Right Arm Ong Entered: 07/30/2019 13:04 EST 07/30/2019 09:30 NYM 108/86 Left Arm Orig Entered: 07/30/2019 12:59 EST 07/28/2019 20:28 NYM 157/91 Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 NYM 138/80 Orig Entered: 07/28/2019 06:58 EST 07/24/2019 13:12 NYM 132/89 Right Arm Orig Entered: 07/24/2019 13:14 EST 07/23/2019 06:30 NYM 140/85 Right Ann Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 NYM 117/66 Right Ann Orig Entered: 07/09/2019 12:51 EST Blood Glucose: Dalt 08/04/2019 lima 08:30 Location Position Left Arm Standing Beaudouin, Robert MD Standing Beaudouin, Robert MD Sitting Beaudouin, Robert MD Cuff Size provider Boaudouin, Robert MD Columbo, Joseph RN Columbo, Joseph RN Silting Joaquin, Y. MLP Sitting Joaquin, Y. MLP Silting Joaquin, Y. MLP matkaimg/dll DUI 156 Non-Fasting Beaudouin, Rob Beaudouin, Rob Columbo, Joser rt MD rt MD h RN Columba, Joseph RN Bstwalatinaillin Adult-regular Joaquin, Y. MLf Mutt-regular Joaquin, Y. ML Adult-regular Joaquin, Y. M I Orig Entered: 08/04/2019 09:08 EST Columbo, Joseph RN 08/02/2019 06:30 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST Joaquin, Y. MLP 08/01/2019 06:30 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST Joaquin, Y. MLP 07/31/2019 06:15 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST Joaquin, Y. MLP SaO2: Data Time 07/30/2019 09:30 NYM YValue/%1 All provider 98 Room Air Beaudouin, Robert MD On; Entered: 07/30/2019 12:59 EST Beaudouin, Robert MD 07/28/2019 20:28 NYM 98 Columbo, Joseph RN Orig Entered: 07/28/2019 20:29 EST Columbo, Joseph RN 07/28/2019 06:57 NYM 98 Columbo, Joseph RN Orig Entered: 07/28/2019 06:58 EST Columbo, Joseph RN 07/24/2019 13:12 NYM 96 Room Air Joaquin, Y. MLP Orig Entered: 07/24/2019 13:14 EST Joaquin, Y. MLP 07/23/2019 06:30 NYM 96 Room Air Joaquin, Y. MLP Orig Entered: 07/23/2019 08:33 EST Joaquin, Y. MLP 07/09/2019 12:49 NYM 97 Room Air Joaquin, Y. MLP Orig Entered: 07/09/2019 12:51 EST Joaquin, Y. MLR Height: Generated 08/10/2019 11:02 by Thomas. Terrance 840041U cl Prisons - NYM provide/ Colombo, Joseph RN Joaquin, ". MLP Joaquin, . MLP Joaquin, Y. MLP Page 2 of 3 EFTA00049273

Begin Date: 07/07/2019 End Date: 08/1012019 Reg #: 76318-054 lnmate Nama: EPSTEIN, JEFFREY EDWARD Data Ilma inches fa Provider 07/09/2019 12:49 NYM 70.0 . 177.8 Joaquin, Y. MLP Orig Entered: 07/09/2019 12:51 EST Joaquin, Y. MLP WeIght: fis rima ula mg wilimSksgms Provider 07/3012019 09:30 NYM 194.2 88.1 Beaudouin, Robert MD Orig Entered: 07/30/2019 12:59 EST Beaudouin, Robert MD 07/09/2019 12:49 NYM 194.4 88.2 Joaquin, Y. MLP Orig Entered: 07/09/2019 12:51 EST Joaquin, Y. MLP Co noraled 08110/2019 11:02 by Thomas. Terranoe &real' ol Prisorm NYM Pag* 3013 EFTA00049274

Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Admin: location Provider Reading• Induration Provider 07/06/2019 21:39 Right Forearm Kang, Yoon PA-C 07/09/2019 12:47 0 mm Joaquin, Y. MLP Orig Entered: 07/05/2019 21:43 EST Kang, Yoon PA-C Prig Entered: 07/09/2019 12:47 EST Joaquin, Y. MLP Total: 1 Generated 08/102019 11:02 by Thomas, Terrance RN/COP/CDC Bureau of Prisons - NYM Page 1 of EFTA00049275

78318-054 EPSTEIN, JEF FREY Madi tion Orders Medication Administration Record JULY 2019 Time 1 2 3 4 5 8 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 Ora. Man 07/10119 1421 Ea Date 07/31/10 1001 NW 122148- NYM 8-eau054% Robert MD tied ragnlar Insulin aulacutaneottely per tX/dIng scale: Mae &IN l'eptI3 Dar for? days lrouLn Rog 110 101)100 unuTSONL be PRN 4s, Ord. Date 07/31/19 1000 En. Dale 08)07(19 0959 NYM 122160- NYM Beas~n. Rai:~ ND bija-c1 ~Au htsutn subarlanoosaN par sliding ecora: cutch monntn 0 for 7 days "I•pl0 lino—• InsuLn Rog (10 141)100 UNITSTML ini PRN Kos-WOW YJI: JOaquIrr, Y. nonielentallOn Codos ORD - Order I NI = Dose Nob infficated Reg Istrauon P. 76318-054 Pt. Nuns: EPSTEIN. JEFFREY DOB: 01/20153 Report information is airrent as of Ilia dato arid time of printing. 08/10/2019 11:02 CST EFTA00049276

76310454 EPSTEIN, JEFFREY Medication Orders Ord.Dale Ereardc.Si. Robed MD 07/31/11) larOD bloc( regular trau5n sulpculaneousty per Exp. Rote stritng acute: each morning for? days '^phl 04427/15 09-59 Medication Administration Record AUGUST 2019 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 NYY 122160- NYM Vaasa Reg (10 au.) I03UNITSAll Ly PRN Providers YJ = JoaquinTY7 Documentation Codes: ORO a Order NI = Dose Not Indcated —RegiSlrgli0n 76318-054 Pt Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report information is current as of the dale and time of printing: 0W10/2019 11:02 EST EFTA00049277

Bureau of Prisons Health Services Devices and Equipment Start Date: 07/07/2019 Stop Date: 08/1012019 Reg 4: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD PevicelEguinment Start Date Stan Date Pate Returned Obtained From Comments C•Pap 07/30/2019 14:05 EST Beaudouin, Robert MD 07/3012019 Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Total: 1 Generated 08110/2019 11:02 by Thomas. Torranco RWIOPtIOC Bureau of Prisons - NYM Page 1 of 1 EFTA00049278

Bureau of Prisons Health Services Pain Management Begin Date: 07/0712019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Data intervention Pain Quality i-0cati0tt Em Era Provider 07/12/2019 13:25 MEDROL DOSE PACK Shooting Back-Middle 5 Beaudouin, Robert MD Orig Entered: 07/12/2019 13:28 EST Beaudouin, Robert MD Cenci:dui:108110/2019 11:02 by Thomas. Torrance RW1OPADC Bureau or Prisons NYM Page 1 of 1 EFTA00049279

Bureau of Prisons Health Services Modified Diet Request Types of Diets: Clear Liquid Low Fat Mechanical Soft Low Cholesterol Low Triglyceride Renal Full Liquid Sodium Controlled Snack Diabetic Calorie Controlled X Other. FISH ALLERGIES. Comments: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: 07/3012020 Beaudouln, Robert MD Health Service Staff EPSTEIN, JEFFREY EDWARD 76318-054 07/30/2019 Inmate Name Reg# Date Generated 07/30201914:57 by Beaudeuia Robert MD Bureau or Prisons - NNW Papal of 1 EFTA00049280

Bureau of Prisons Health Services Allergies Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Allergy Pate Noted BeactIon No Known Allergies 07/06/2019 Orig Entered: 07/06/2019 21:40 EST Kang, Yoon PA-C Total: 1 Genceavid 08110)7019 11:02 by Tnames. TOMInce Bureau of Prisons NYM Pagel*: EFTA00049281

Bureau of Prisons Health Services Patient Education Assessments & Topics Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Assessments Assessment Learns Best By Primary Language 07/09/2019 Speaking/Listening English 0dg Entered: 07/09/2019 12:52 EST Joaquin, Y. Total: 1 Date Initiated 07/30/2019 Format Counseling Handout/Topic Access to Care Years of Education Barriers To Education 12 None Orig Entered: 07/30/2019 13:33 EST Beaudouin, Robert 07/30/2019 Counseling Plan of Care Orig Entered: 07/30/2019 13:34 EST Beaudouin, Robert 07/28/2019 Counseling Plan of Care Ortg Entered: 07/28/2019 07:22 EST Columbo, Joseph 07/28/2019 Counseling Plan of Care Orlg Entered: 07/28/2019 20:30 EST Columbo, Joseph 07/24/2019 Counseling Access to Care Wig Entered: 07/24/2019 13:23 EST Joaquin, Y. 07/24/2019 Counseling Preventive Health Orig Entered: 07/24/2019 13:23 EST Joaquin, Y. 07/2312019 Counseling Access to Care Orig Entered: 07/23/2019 09:04 EST Joaquin, Y. 07/23/2019 -- Counseling_ Plan of Care_ orlg Entered: 07/23/2019 09:04 EST Joaquin, Y. 07/14/2019 Counseling Diagnosis Ortg Entered: 07/14/2019 18:11 EST Beaudouin. Robert 07/12/2019 Counseling Diagnosis Topics Outcome Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Provider Joaquin, Y. Provider Beaudouin, Robert Beaudouin, Robert Columba, Joseph Columbo, Joseph Joaquin, Y. Joaquin, Y. Joaquin, Y. Joaquin, Y. Beaudouin, Robert Beaudouln, Robert Generated 08/101201911:02 by Thomas, Torranoo RNROP/1DC 8vreou of Prisons - NMI Page 1 of 2 EFTA00049282

Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Topics Ant/Initiated &II= Handouttroolg Outcome Provider Orig Entered: 07/12/2019 13:33 EST Boaudouin, Robert Total: 10 Generated 04111042019 11:02 by Thomas. Terrence FIN/I0PROC Bureau of Prisons - NYM Page 2 0l2 EFTA00049283

Bureau of Prisons Health Services Blood Glucose Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD (Reference Range: Random or Fasting 70 - 100. 2 hour post-prandlel 70 -140) DLitt Illntt Yalita LIRA 08/04/2019 08:30 NYM 156 Non-Fasting Ortg Entered: 08/04/2019 09:08 EST Columbo, Joseph RN 08/02/2019 06:30 NYM 97 Non-Fasting OrIg Entered: 08/02/2019 08:16 EST Joaquin, Y. MLP 08/01/2019 06:30 NYM 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST Joaquin, Y. MLP 07/31/2019 06:15 NYM 108 Non-Fasting ()rig Entered: 07/31/2019 08:36 EST Joaquin, Y. MLP Total: 4 Commertle Generated 08/10/2019 11:02 by Thomas, Torrance RNMOP/IDC Bureau of Prisons - NYM Page 1 of EFTA00049284

Bureau of Prisons Health Services Health Problems Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Descrietion Current Hypertlpidemle, unspecified 07/12/2019 13:48 EST Beaudouin, Robert MD HYPERTRIGLYCERIDEMIA Sleep apnea 07/12/2019 13:56 EST Beaudouin, Robert MD Essential (primary) hypertension 07/30/2019 13:13 EST Beaudouin, Robert MD BY HX. Constipation, unspecified 07/09/2019 12:58 EST Joaquin, Y. MLP Low back pain 07/12/2019 13:30 EST Beaudouin, Robert MD Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST Beaudouin, Robert MD No Diagnosis 07109/2019 10:28 EST Miller, Elissa PhD/Chief Psychologist Prediabetes 07/30/2019 13:26 EST Beaudouin, Robert MD Injury, unspecified 07/23/2019 09:04 EST Joaquin, Y. MLP RIO self inflicted injuries. Body mass Index (BMI) 27,0.27.9, adult 07/30/2019 13:14 EST Beaudoufn, Robert MO Total: 10 Ards Code TImp code Diag Date Stall ataluaDa12 ICD-10 E785 07/12/2019 Current ICD-10 64730 07/12/2019 Current ICD-10 110 07/30/2019 Current ICD-10 K5900 07/09/2019 Current ICD-10 M545 07/12/2019 Current 1CD-10 M792 07/1212019 Current I DSM-IV No Dx 07/09/2019 Current ICD-10 R7303 07/30/2019 Current SCD-10 11490 07/23/2019 Current IC0-10 Z6827 07/30/2019 Current Generated 08/10/2019 11:02 by norms, Tenanco RN/IOPtl DC Bureau of Prisons - NYM Page 1 of 1 EFTA00049285

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/12/2019 13:10 Provider: Beaudouin, Robert MD Reg #: 76318-054 Facility: NYM Unit: Z05 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin. Robert MD Chief Complaint: ENDO/LIPID Subjective: 66 YR OL HYPERT 800 MEDS HX OF O MACHINE. STATES THE L4 - L5 SEVERE LOWER EXTREMI S. SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessment Date: Location: Quality of Pain: Pain Scale: Intervention: Trauma Date/Year: Injury: Mechanism: Onset: Duration: Exacerbating Factors: Relieving Factors: Reason Not Done: Comments: HITE MALE WITH HX OF CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE EIR GI SIDE EFFECTS. UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. Y HAS SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE 07/12/2019 13:25 Back-Middle Shooting 5 MEDROL DOSE PACK 5+ Years 5+ Years NO EXERCISE MEDROL DOSE PACK Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, OrthopediclRheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic. Appears in Pain, Writhing in Pain. Pale. Pallor. Cyanotic, Diaphoretic. Disheveled. Unkempt. Acutely III Nutrition Ho: Appears Obese Generated 07/12/2019 14:20 by Beaudouin• Robert MD Bureau of Prisons • NYM Page 1 of 3 EFTA00049286

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Dale: 07/12/2019 13:10 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin, Robert MD Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rat Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active B Palpation Yes: Within Normal Limits Musculoskeletal Tibia I Fibula No: Edema Back Yes: Tenderness ithin Neurologic 4°) Cranial Nerves (CN) Yes: W ASSESSMENT: Constipation, unspecified, K5900 - Current Motor System-General Normal Limits Yes: Normal Exam Neuralgia and neuritis, unspecified, M792 - Current Low back pain. M545 - Current er Hyperlipidemia, unspecified, E785 - Current Sleep apnea. G4730 - Current PLAN: New Medication Orders: medication Order Date Magnesium Hydroxide Susp 07/12/2019 13:10 Indication: Constipation, unspecified MethyIPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 Pack 21 tab) Indication: Neuralgia and neuritis, unspecified Disposition: Prescriber Order 30 CC Orally - Two Times a Day PRN x 2 day(s) AS DIRECTED Orally - daily x 6 day(s) Generated 07/122019 14:20 by Beaudouin, Robert MD Bureau of Prisons • NYM Page 2 of 3 EFTA00049287

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:10 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin, Robert MD Unit: Z05 Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Date Initiated Format Handout/Tooic Provider Outcome 07/12/2019 Counseling Diagnosis Beaudouin, Robert Verbalizes Understanding Copay Required:No Cosign Required: No TelephoneNerbal Order: Completed by Beaudouin, n n 07/12/2019 14:20 Generated 07/12/2019 14:20 by Beaudouin, Robed MD Bureau or Prisons - NYM Page 3 or 3 EFTA00049288

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:10 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin. Robert MD Unit: Z0S Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, Robert MD Chief Complaint: ENDO/LIPID Subjective: 66 YR OL HITE MALE WITH HX OF HYPERT CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 in/ STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS EIR GI SIDE EFFECTS. HX OF Oi UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. ir HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES THE Y HAS L4 - L5 SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMI S. SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: Reason Not Done: Comments: MEDROL DOSE PACK Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain. Writhing in Pain, Pale. Pallor. Cyanotic. Diaphoretic. Disheveled. Unkempt, Acutely III Nutrition No: Appears Obese Generated 07/12/2019 14:20 by Beaudouin. Robert MO Bureau of Prisons • NYM Page 1 of 3 EFTA00049289

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/12/2019 13:10 Provider: Beaudouin, Robert MD Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocutar Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rat Rhythm (RRR), Normal S1 and S2 No: MIRJG Abdomen Auscultation Yes: Normo-Active B Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Crania di ) l Nerves (CN) Yes: stem- ASSESSMENT: Constipation, unspecified, K5900 - Current thi Normal Limits Motor System-General Yes: Normal Exam Neuralgia and neuritis, unspecified, M792 - Current Low back pain, M545 - Current Hyperlipidemia, unspecified, E785 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Medication Order Date Magnesium Hydroxide Susp 07/12/2019 13:10 Indication: Constipation, unspecified MethyiPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 Pack 21 tab) Indication: Neuralgia and neuritis, unspecified Disposition: Prescriber Order 30 CC Orally - Two Times a Day PRN x 2 day(s) AS DIRECTED Orally - daily x 6 day(s) Generals 07/12/2019 14:20 by Beaudouin, Robert MO Bureau of Prisons - NYM Page 2 of 3 EFTA00049290

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ft: 76318-Q54 Date of Birth: 01/20/1953 Sex: NI Race: WHITE Facility: NYM Encounter Date: 07/12/2019 13:10 Provider: Beaudouin. Robert MD Unit: 205 Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Date Initiated Format 07/12/2019 Counseling Copay Required: No TelephoneNerbal Order: No Completed by Beaudouin. Prb Handout/Topic Provider Outcome Diagnosis Beaudouin, Robert Verbalizes Understanding Cosign Required: No 07/12/2019 14:20 Generated 07/12/2019 14:20 by Beaudouin. Robed MD Bureau of Prisons - NYM Page 3 of 3 EFTA00049291

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76308-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/14/2019 17:36 Facility: Nrit. Amendment made to this note by Beaudouln, Robert MD on 07/14/2019 18:11. Blatiti of Prisons - NYM EFTA00049292

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Note Date: 07/12/2019 09:06 Provider: Beaudouin, Robert MD Unit: 205 Admin Note - Orders encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider. Beaudouin, Robert MD PATIENT REQUESTED TO HAVE A COLACE RX , INSTEAD OF TEH BISACODYL FOR CONSTIPATION. New Medication Orders: Medication Order Data Prescriber Order Docusate Sodium Capsule 07/12/2019 09:06 TAKE ONE 100 MG CAP Orally - Two Times a Day x 30 day(s) Indication: Constipation, unspecified Discontinued Medication Orders: 3F4 Medication Order Date lee O 121757-NYM Bisacodyl E.C. 5 MG TAB 07/12/2019 09:06 Take one tab t (5 MG) by mouth at bedtime A • NEEDED for 10 days Discontinue Type: When Pharmacy Processes Discontinue Reason:discontinue Indication: Copay Required:No Cosign Required: No TelephoneNerbal Order No Completed by Beaudouin, Robert MD on 07/12/2019 09:10 Generated 07112f2019 00:10 by Booedrnan. Robert MD Bwoau of Prisons - NYM Page 1 of 1 EFTA00049293

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/07/2019 00:17 Provider. Beaudouin, Robert MD Unit: E08 Cosign Note - Intake Cosign encounter performed at HeaIth Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider. Beaudouin, Robert MD MED CL:1 NO CCC APPT. Discontinued Laboratory Requests: Petailt Frequency Lab Tests-H-Hemoglobin A1C One Time Lab Tests-C-CBC w/diff Lab Tests-L-Lipld Profile Lab Tests-C-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Rellex to Microscopic Additional Information: 66 y/o mate, elevated BP Labs requested to be reviewed by: New Laboratory Requests: Details Chronic Care Clinics-Diabetic-CBC w/diff Chronic Care Clinics-Diabetic-Lipid Profile Chronic Care Clinics-Diabetic-Hemoglobin A1C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Dela Frequency endlUate General Radiology-Chest-2 Views One Time Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. Copay Required: No Cosign Required: No TelephoneNerbal Order: No Completed by Beaudouin, Robert MD on 07/07/2019 00:30 Beaudouin, Robert MD The Date 08/05/2019 00:00 Ro11t1Re Frequency The Pate Priority One Time 07/25/2019 00:00 Rci/rtine The Date 07/25/2019 Primal Routine Generated 07,07/2019 00:30 by Beaudouin, Robert MD Bunnu of Prisons - NYM Parlor 1 EFTA00049294

Bureau of Prisons Health Services History & Physical Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Dale: 07/09/2019 12:35 Provider. Joaquin, Y. MLP Reg #: 76318-054 Facility: NYM Unit H01 Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carclnoma/Lym phom a: Denied Allergies: Denied Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss:No Fever: No Cough:No Comments: Infectious Disease Risk Factors: IV Drug Use: No IV Drug Use Needles: Sexual Partner IV Drug Use: No Sexual Partner IV Drug Use Needles: Female Sexual Partners (Last 5 Yrs): 10+ Male Sexual Partners (Last 5 Yrs): 0 Condom Use: Sometimes Sexual Contact With HIV+ Individual: No Blood Product Transfusion: No Travel Outside US: Yes Tattoos: No Comments: Born in US High school diploma Banker Traveled to Paris x 3 weeks up until arrest No tattoos Genera:ad 07/09201913:03 by Joaquin. Y. MLP Bureau of Prisons - NYM Fait° I of 13 EFTA00049295

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider. Joaquin, Y. MLP Reg ft: 76318-054 Facility: NyM Unit I1011 HP/ History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: WA Genital Warts: No Chiamydia: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other. No Comments: Chlamydia in 2015, treated Chicken pox in childhood Abuse History: Denied Physical: No Emotional: No Sexual: No Comments: Denies Generator) 07/09,2019 13:03 by Joaquin. Y. MLP Bureau of PrISOT13 - NYM Page 2o/ 13 EFTA00049296

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Reg #: 18-054 Foot ty: NY,M Unit: HD1 Mental Health: Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior. Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Hx of Mental Health Treatment: None Mx of Head Injury: None Current Mental Health Treatment: No Current Mental Health Complaint No Hx of Loss of Consciousness: No Hx of Hearing Voices: No Past History of Suicide Attempt: No Current Suicide Ideation: No Suicide Prevention Initiated:No Comments: Substance Use History: Denied Current Painful Condition: Denied Other Health Issues: Current Medical Conditions: Other Current Treatments: Pregnant: N/A Dental Condition: Denied Generated 07/092019 13:03 by Joaquin, Y. MLP Bureau at Prisons - NYM 3of 13 EFTA00049297

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Encounter Date: 07109/2019 12:35 Provider: Joaquin, Y. MLP Unit• 7.6318-054 I- YM 01 Observations: Draining Skin Lesions: No Signs of Lice: No Signs of Scabies: No Signs of Recent Trauma: No Recent Tattoos: No Needle Marks: No Signs of Rash: No Open Sores: No Wounds: No Body Deformities: No Tremors: No Sweating: No Comments: Generated 07/09f2019 13.03 by Joaquin, Y. MLP Bureau of Prisons - NYM 4of 13 EFTA00049298

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Reg 0: 7.318-O54 Fuad nithty: N Immunizations: Hepatitis A and B (TwInRx) Series Administration: History Unknown, Not Administered Documented Date: 07/0912019 12:51 EST Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number. Dosage: Route: Exp Dt: Comments: Measles/Mumps/Rubella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Smallpox Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number. Dosage: Route: Exp Dt: Comments: Tetanus Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Generated 07/09/2019 1303 by Joaquin. Y. MLP Bureau or Prisons - NYM Rage of 13 EFTA00049299

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Reg #: $318-054 Facility: NYM Unit: 901 Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number. Dosage: Route: Exp Ot: Comments: Varicella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Dato: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Temperature: Pate Time Fahrenheit Celsius Itocatlott Provider 07/09/2019 12:49 NYM 97.3 36.3 Oral Joaquin, Y. MLP Pulse: nakt Rate Per Minute Location Rhythm Provider 07/09/2019 12:49 82 Via Machine Regular Joaquin, Y. MLP Respirations: RAO_ Time Reteferidatuict PLO_Ylita 07/09/2019 12:49 NYM 16 Joaquin, Y. MLP Blood Pressure: Date Time Value Lot/tatter). Pcqtion Cuff Size Provider 07/09/2019 12:49 NYM 117/68 Right Arm Sitting Adult-regular Joaquin, Y. MLP SaO2: Mg Time Yaluel%) Air provider 07/0912019 12:49 NYM 97 Room Air Joaquin, Y. MLP Height: oats Time tachaS. cm Provider 07/09/2019 12:49 NYM 70.0 177.8 Joaquin, Y. MLP Generated 07/09/2019 13:03 by Joaquin. Y. MIP Bureau of Prisons-NYM Pat6 of IS EFTA00049300

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 763t8.054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Unit: H01 P4tQ Tune Inches ran Provider Weight: age Time Lin Kg Weiagnunt. Provider 07/09/2019 12:49 NYM 194.4 88.2 Joaquin, Y. MLP Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA Patient Education Assessments: RAM gd Yrn Occupation Learns Best Py annutizatuLOState Barriers to Eduction 07/09/2019 12 Banker Speaking/Listening English None Family History - Father. Ago at Death: 74 Cause of Death: Diabetes complications Significant Illnesses: Diabetes Heart Disease Comments: Family History - Mother. Age at Death: 81 Cause of Death: Kidney Failure Significant Illnesses: Heart Disease Comments: Family History - Sibling: Number of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: Reason Acute Appendicitis Complications: None Comments: Head: Normal: Yes Comments: Location Mount Sinai Hospital When 1990 Generated 07/0912319 13:03 by Joaqu'n. Y. MLP Bureau of Prisons - NYM Pale 7 of 13 EFTA00049301

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. Joaquin, Y. MLP Unit: Hoi Eyes: EOM': Yes Icterus:No Conjunctival Inflammation: No Pupils PERRLA: Yes Pupil Size Re Pupil Size Lt: Pupils Comments: Fundi Vessels Nicking: No Fundi Vessels Discs Flat:Yes Fundi Vessels Discs Sharp Margins: Yes Fund/ Vessels Grounds Abnormal: No Eyes Comments: Vision Screen 07/09/2019 12:52 Blindness: Distance Vision: OD: 100 OS: 70 OU: Near Vision: OD: OS: OU: lshihara Color Test: Tonometry: L: R: Comments: Needs evaluation with optometrist. Ears: Right Ear: Canal patent Left Ear: Canal patent Ears Comments: Nose: Nares Patent: Yes Septum Midilne:Yes Septum Intact: Yes Drainage/Discharge:No Polyps: No Nose Comments: With Corrective OD: OD: OS OS: GOCIOnitOgi 07/09/2019 13:03 by Joaquin. Y. MLP Bureau of Prisons- NM Pape 8 of 13 EFTA00049302

4 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/201912:35 Provider: Joaquin, Y. MLP Reg #: Facility: Unit 75318-054 fAYM HO1 Mouth Lesions: No OrailBuccal Mucosa:Yes Gums Normal: Yes Tonsils Present: yes Tonsils Normal: Yes Pharynx: Normal Color Teeth Poor Dentition: No Teeth Count:Mostly Present Dentures: No Mouth Comments: Cranial Nerves: Intact Yes Cranial Nerves Comments: Neck: Full ROM:Yes Masses/Nodes: No Trachea: Midtine Thyroid: Normal Size Comments: Breasts: Normal: Yes Masses:No Tenderness:No Scars: No Dimpling:No Nipple Discharge: No Nipple Retraction: No Instructions for Self Breast Exam Given: No Comments: Generated 07/09.2019 13;03 by Joaquin. Y. iviu, Bureau of Pascoe • NYM Pale 9 of 13 EFTA00049303

Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Vision Screen on 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 OS: 20/70 OU: Near Vision: OD: OS: OU: With Corrective Distance Vision: OD: OS: OU: Near Vision: OD: OS: OU: Present Glasses - Distance Refraction - Distance Sphere Cylinder Axis Add Sphere Cylinder Axis Ft R: L: L: Color Test Tonornetry. R: L: Comments: Needs evaluation with optometrist. Ortg Entered: 07/09/2019 12:54 EST Joaquin, Y. MLP Add Generated 08/1012019 11:02 by Thomas, Terrance Bureau of Prisons • NYM Pe 1 et I EFTA00049304

Bureau of Prisons Health Services Immunizations Begin Date: 07/07/2019 Reg Si: 76318-054 End Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Immunization Hepatitis A and B (TwinRx) Orig Entered: 07/09/2019 12:51 EST Measles/Mumps/Rubella Series Orig Entered: 07/09/2019 12:51 EST Smallpox Series Orig Entered: 07/09/2019 12:51 EST Tetanus Orig Entered: 07/09/2019 12:51 EST Varicella Series Orig Entered: 07/09/2019 12:51 EST Total: 5 Immunization Date AsImIghitered. 1..ocatiort History Unknown Joaquin, Y. MLP History Unknown Joaquin, Y. MLP History Unknown Joaquin, Y. MLP History Unknown Joaquin, Y. MLP History Unknown Joaquin, Y. MLP Diana Pruca I fl y Date Generated 08110/2019 11.02 by Thomas, Terrance RN/iO13/1OC Bureau of PrisorG • NYM Page 1 of 1 EFTA00049305

Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD • • confined to the living quarters except meals pill line treatments Exp. Date: on complete bed rest: . • bathroom privileges only Exp. Date: X cell: cell on first floor single cell X lower bunk airborne infection isolation Exp. Date: other. Exp. Dale: all spot,.?;.. Exp. Date: weighniftf4 _upper body lower body Exp. Date: carthoVascular exercise: running _Jogging walking _softball Exp.. Date: • football basketball handball stationary equipment ,other. Exp. Date: AYTPREirgEffirelartlitrriTittailiiiTtiziailiiiiciliiitiU ; • Equipment Start Date End Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL tt: P113121313B1ED. WO 110 • Wir .r. s'ziff : :Xie<; . :fr ; • Cleared for Food Service: Yes X No Restrictions Comments: N/A Beaudouiri, Robert MD Health Services Staff 07/30/2019 10/09/2019 Return Date Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 K . Generated 081101201911:02 by Thomas. Terrance Bureau of Prisons • NYM Page 1 011 EFTA00049306

• ;..)...;" • - V.other: Bureau of Prisons Health Services Medical Duty Status Reg 76318.054 Inmate Name: EPSTEIN, JEFFREY EDWARD f44ilififiTSEINalni.::ti*i :;:ica.cfl.a.fni ::')IC7.•:71,:-: :.::::::::: . . confined to the living quartent raept - meals pill line treatments Exp. Dale: i - _ - on complete bed rest;,,- '...: • • ' bathroom privileges only Exp. Date: - X cell: cell on first loor.., ::single cell X lower bunk airborne infection isolation Exp. Date: 10/09/2019 other 'C'44, Exp. Date: : • PilfirarMyttatTries c : ..c•15W1.7 • Exp. Date: Exp. Date: - ell sp •- weigfilliftini upper body lower body — ..46ardidvascular exercise: running _jogging walking softball Exp. Date: football basketball handball stationary equipment Exp. Date: 241f.:Zta:.,, ......-rgyihavevmsonotaaatsgbauenwsi .411;z- %;a4(554:2, 1' ?,'•e -17•',;r -,171•:.7.:flit:•Th:1177recter•-•ro•eowerwr. .• • .-'11;;T 534%-'; Cleared for Food Service: Yes X No Restrictions Comments: N/A Health Services Staff • Joaquin, Y. MLP 07/09/2019 Dale Inmate Name: EPSTEIN, JEFFREY EDWARD, Reg ft: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 241001% Generated 08/1012019 11:02 by Thomas, Torrance Bureau of Prisons - NYM Page 1 of EFTA00049307

Bureau of Prisons Health Services Medication Summary Historical Complex: NYM—NEW YORK MCC Inmate: EPSTEIN, JEFFREY EDWARD Begin Date: 07/07/2019 End Date: 08/1012019 Reg #: 76318-054 Quarter: Z04-206LAD Medications listed reflect prescribed medications from the begin date to end date on this report. I Allergies: Denied Active Prescriptions Bisacodyl E.C. 5 MG TAB Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days Rx#: 121757-NYM Doctor. Joaquin, Y. MLP Start 07/09/19 Exp: 07/19/19 DX: 07/12/19 Pharmacy Dispensings: 10 TAB in 32 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) by mouth twice daily for 30 days Rx#: 121823-NYM Doctor. Beaudouin, Robert MD Start 07/12/19 Exp: 08/11/19 Pharmacy Dispensings: 60 CAP in 29 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) twice dally by mouth with plenty of water Rx#: 122084-NYM Doctor Beaudouin, Robert MD Start: 07/26/19 Exp: 01/22/20 Pharmacy Dispensings: 30 CAP fn 15 days Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML shake well take 2 tablespoonful twice daily by mouth Rx#: 121835-NYM Doctor. Beaudouin, Robed MD Start: 07/12/19 Exp: 07/14/19 Milk of Magnesia Susp (OTC) (473ML)400MG/5ML shake well take 10ml by mouth twice daily AS NEEDED Rx#: 122150-NYM Doctor. Beaudouin, Robert MO Start: 07/3W19 Exp: 10/28/19 methylPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rx#: 121836•NYM Doctor. Beaudouin, Robert MD Start: 07/12/19 Exp: 07/18/19 methylPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Ra: 122149-NYM Doctor: Beaudouin, Robert MD Start: 07/30/19 Exp: 08/05/19 Pharmacy Dispensings: 473 ML n 29 days Pharmacy Dispensings: 473 ML in 11 days Pharmacy Dispensings: 21 tab ii 29 days Pharmacy Dispensings: 21 tab In 11 days Concreted 0&10(201911:02 by Thomas, Torrance Bureau of Prisons - NYM Pogo 1 of 2 EFTA00049308

Complex: NYM—NEW YORK MCC Inmate: EPSTEIN, JEFFREY EDWARD Begin Date: 07/07/2019 End Date: #1W2019 Reg #: 76318-054 Quarter. Z04-206LAD Active Prescriptions Omega 3 (Vascepa) 1 GM Capsule Take two capsules (2 GM) twice daily by mouth with (cod Rx#: 121885-NYM Doctor: Beaudouin, Robert MD Start 07/17/19 Exp: 01/13120 Insulin Reg (10 ML) 100 UNITS/ML Inj Inject regular insulin subcutaneously per sliding scale: twice daily "'pill line"' for 7 days "'pill line*" Ftx#: 122148-NYM Doctor. Beaudouln, Robert MD Start: 07/30/19 Exp: 08/06/19 D1C: 07/31/19 Pharmacy Dispensings: 0 ML In 11 Pharmacy Dispensings: 180 Cap it 24 days days Insulin Reg (10 ML) 100 UNITS/Mi. Inj Inject regular insulin subcutaneously per sliding scale: each morning for 7 days "'pill line"' "'pill line Rx#: 122160-NYM Doctor. Beaudouln, Robert MD Start: 07/31/19 Exp: 08/07/19 Pharmacy Dtspensings: 0 ML in 1 days Generated 08/1012019 11:02 by Thomas, Terrance &MIL of Prisons • NYM Per 2 02 EFTA00049309

Bureau of Prisons Health Services Dental Health History Screen Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318- J54 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider. Ancrum, Cheryl DOS Unit: H01 ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems litmalalatam Stott*. Hyperlipldomia, unspecified Current HYPERTRIGLYCERIDEMIA Sleep apnea Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Injury, unspecified Current R/0 self Inflicted injuries. Medical History as of Dental Health History Encounter date: Medical History: Allergies: Denied Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied 07/26/2019 07:54 Generated 07t26/2019 07:58 by Ancrum, Cheryl 003 Bureau of Prisons - NYM Pegs 1 of 3 EFTA00049310

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider: Antrum, Cheryl DDS Unit: 1-i01 Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: N/A Genital Warts: No Chlamydla: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other. No Comments: Chlemydla In 2015, treated Chicken pox in childhood Other Health Issues: Other Medical Conditions And Troatment:sleep apnea Current Medical Conditions: Other Current Treatments: Pregnant: N/A Dental Observations as of Dental Health History Encounter date: 07/26/2019 07:54 History: Alcohol: No Methamphotamine: No Tobacco products: No Other drugs: No Sensitive teeth: No Bleeding gums: Yes Food impaction: Yes Pain around ear No Toothache: No Wear partial dentures: No Unusual sounds while eating: No Snoring: Yes Blisters on lips or mouth: No Clenching or grinding: Yes Swelling or lumps in mouth/throat: No Burning tongue: No Bad breath: No Decayed teeth: No Loose teeth: No Wear dentures: No None: No Comments: Generated 07/20/2019 07:59 by Mctum, Cheryl DOS Bureau of Prisons - NYM Pap 2 of 3 EFTA00049311

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider. Antrum, Cheryl DDS Unit: H01 Cardiac Condition Requiring Prophylaxis: No Prosthetic joint(s): No Radiation history of head or neck: No Excessive bleeding: No Bisphosphonates: No Comments: Medications as of Dental Health History Encounter date: 07/26/2019 07:54 Medications: Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this inmate is currently taking. Instructed inmate how to obtain medical, dental, and mental health care. Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by Ancrum, Cheryl ODS on 07/26/2019 07:59 Generaled 07/26O019 07:59 by Antrum. Cheryl DOS Bureau of Prisons • NYM 3 of 3 EFTA00049312

Bureau of Prisons Health Services Dental A&O Exam Inmate Name: EPSTEIN, JEFFREY EDWARD Reg t. 16318.054 Date of Birth: 01/20/1953 Sex: M Race: WHITE NYM . Encounter Date: 07/26/2019 07:47 Provider. Ancrum, Cheryl DDS Unit: 401 Reviewed Health Status: Yes Occlusion: Class I Oral Hygiene: Fair OMR: 3 2 3 3 2 3 Hard and soft tissue examination performed and documented on BP618 form: Yes Head & Neck/Soft Tissue within normal limits? No Comments: moderate to advanced upper posterior gingival recession Decayed: Missing: Filled: 0 f 14 Comments: Lower anterior crowding Approved for hygiene appointment and radiographs: Yes Instructed Inmate how to obtain routine and emergency dental care. Oral hygiene instructions given: Yes Dental MO Screening Exam findings entered on EPSTEIN, JEFFREY EDWARD by Ancrum, Cheryl DDS on 07/26/2019 07:47. Generated 07/26/2019 05:00 by Antrum. Cheryl DOS Bureau of Prisons • NYM Page 1 of 1 EFTA00049313

Bureau of Prisons Health Services Dental Soap/Admin Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/18/2019 13:48 Provider. DeBruce, Juanita Dental Ant Unit: Z05 Screening encounter at Dental Clinic. Reason Not Done: Unavailable Comments: Patient has had several call outs for his Dental A 8 O screening but has not been escorted to dental clinic. Cosign Required: No Completed by DeBruce, Juanita Dental Asst on 07/19/2019 13:49. Goneraled 07119/201913:49 by DeBruce. Juan!U3 Dental Nadu of Prisons • NYM Rego 1 o! 1 EFTA00049314

Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 ••• Sensitive But nclasslfleds** Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 0112W1953 Sex M Facility MCC New York Order Unit E06-547U Provider Robert Beaudouin, MD I Collected 07/09/20 9 13:34 Received 07/10/20 9 10:44 Reported 07/10/2 1914:46 LIS ID 188191 04 CHEMISTRY Sodium Potassium Chloride CO2 BUN Great/nine eGFR (IDMS) 137 4.7 99 27 17 1.05 >60 137-148 3.5-5.0 99-114 22-30 7-22 0,66-1.25 mmol/L mmol/L mmol/L mmol/L mg/dL mg/dL GFR units measured as mt./min/1.73 m*2. If African American mull.* by 1.210. A calculated GFR <80 suggests chronic kidney disease if found over a 3 month period. Calcium 9.8 8.5-10.9 mg/dL Glucose 102 70-110 mg/dL AST H 57 11-55 U/L ALT 62 11-66 U/L Alkaline Phosphatase 64 41-133 U/L Bilirubin, Total 1.1 0.2-1.3 mg/dL Total Protein 7.3 6.0-8.2 g/dL Albumin 4.4 3.6-5.1 g/dL Globulin 2.9 2.0-3.7 gkil Alb/Glob Ratio 1.50 1.00-2.30 Anton Gap 10.2 9.0-19.0 BUN/Croat Ratio 16.1 5.0-30.0 Cholesterol H 216 <200 mg/dl Triglycerides H 413 10-150 mg/dL Calculation of LOL is not appropriate for sampes with a triglyceride greater then 400 mg/dL. Therefore the La is not calculated. HDL Cholesterol L 31 40-60 mg/dL ChoVHDL Ratio H 6.9 0.0-4.0 HEMATOLOGY WBC 7.6 4.3-11.1 K/ui NRBC% 0.0 RBC 5.42 4.46.5.78 M/uL Hemoglobin 15.6 13.6-17.6 g/dL Hematocrit 47.8 40.2-51.4 ok MCV 88.2 82.5-96.5 IL MCH 28.8 27.1-34.9 PO MCHC L 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 ok Platelet 338 130-374 KJul FLAG LEGEND La-Low LI=Low Critical H=High HI=HIgh Critical A=Abnormal Al =Abnormal Critical Page 1 of 0 EFTA00049315

C. Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 '" Sensitive But Unclassified Name EPSTEIN, JEFFREY Reg # 76318-054 DO8 01/20/1953 Sex M Facility MCC New York Order Unit E06-547U Provider Robert Beaudouin, MD Collected 07/09120t9 13:34 Received 07/10/2019 10:44 Reported 07/1012019 14:46 LIS ID 188191004 HEMATOLOGY MPV 10.4 Neutrophils % 58.7 Therapeutic decision making should be based on absolute values, rather than percentages Lymphocytes % Monocytes EosinophIls % Basophils % Immature Granulocytes % Neutrophils Lymphocytes # Monocytes Eosinophits Basophils Immature Granulocytes # 25.0 11.1 4.1 0.8 0.3 4.4 1.9 0.8 0.3 0.1 0.02 6.9.10.5 0.0-5.0 1.9-6.7 1.3-3.7 0.3-1.1 0.0-0.5 0.0-0.1 0.00-0.50 IL 0/0 ok K/uL K/uL K/uL K/uL K/uL 10^3/ul Hemoglobin Ale 5.7- 8.4 lnaeased Risk > 8.4 Diabetes HEMOGLOBIN Al C H 6.3 <5.7 SEROLOGY RPR Non-Reactive Results may be affected In patients with severely advanced Immunosuppresslon. Non-Reactive FLAG LEGEND L=Low LI=Low Critical Fl=High HI=High Critical A=Abnorrnal Al =Abnormal Critical Page 2 of 3 EFTA00049316

Federal Bu Prisons re of au Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874.1621 Facility MCC New York Order Unit E06-547U Provider Robert 8eaudouin, MD ••• Sensitive But,Unciessifiod -- Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07(101201914:46 L/S ID 188191004 HIV HIV 1/2 Negative Screening test - See confirmatory testing for Reactive results Negative FLAG LEGEND L=low LI=Low Critical H=High HI=High Critical A=Abnorrnal Al =Abnormal Critical Page 3 of 3 EFTA00049317

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Rog #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07110/2019 16:58 Provider: Lab Result Receive Facility: NYM Cosigned by Beaudouln, Robert MD on 07114/201918:12. Bureau of Prisons - NYM EFTA00049318

8P-S358.GS0 MEDICAL TREATMENT REFUSAL CDFRM SEP GS U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-Z4-20119 Date JEFFREY EPSTEIN 70318.054 , refuse treatment recommended by the Fideral Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental con 'don, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUI , ROBERT MD 7-24-2019 Counseled by Dale 77 Signature of Wine s Date --71,e,40.966 NYM-NEW YORK MCC Date EFTA00049319

BP.A.0618 JUN 18 U.S. DEPARTMENT OF JUSTICE MO DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL. BUREAU OF PRISONS Occlusion: t 2 3 4 5 6 7 8 9 10 11 12 t3 14 15 18 rt - 32 31 30 29 28 27 28252423 22 21 20 18. 18 17 Cral Hygiene: Good CPITtt 3 2- 9 Head & Neck / Soft Tissue: Classiftcatiom CL- Pain Scale: /10 Dental Prostheses et Intake: Yes No TYPE Ag e: Condit:6m: 4 et.. - CAM * 1 n 0 c t i rt Q SS / Cr, DI:iSerkit-e-4 i 1-4 -e" C- %-\an Or CayOLIA I eliaSe Intra-cmt Photos Taken Yes 0 Radiographs Takcut (Document findings on AAO encurder) Yes I O • Insbuctod how to obtain urgent and non-urgent den WI on Yes: i No: Treatment PrIonees: None: Non-urgent non-urgent Urgent Referred tO Sick Cast Rattographs etitherted: PM: ' Pitchy:4n authorized Yes i No (Approval vaal 18 months (corn examination date) BM: P971011:1X Pa firm &kin , -3-cc- (e E Dentist S;gnature: ( 0-44 CA--Aith-- >DS' Number. f -7‘ 3 i T.• pct.\ InstttutIon: MCC NEW YORK Date: —7 - 2-61 -19. Signature Block/Stamp: C. Antrum DDS. PDF Proscrtbed by Peace Chlet en a cer MCC New YorIc Replaces ii1P-Aoela el JUN 10 EFTA00049320

BP-S358.050 MEDICAL TREATMENT REFUSAL COFFIN SEP 05 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 LAYMAN'S TERMINOLOGY: 4 EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTI-IALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUI , ROBERT MD 7-24-2019 Counseled by Date Signature of Mtn.] s Date -71.-Aeolen c/rtie- EFTA00049321

BP-5355.C60 MEDICAL TREATMENT REFUSAL SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 Dpte I, JEFFREY EPSTEIN 78318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condItIon(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUtTNE CXR. The following treatments) was/were recommended: CHEST X-RAY CDFR'A Federal Bureau of Prisons Medical staff members have carefully explainecito me that the following possible consequences and/or complications may result because of my refusal to accept treatment: WORSENING THE CONDITION IF THERE IS ANY FINDINGS I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. ESGUERRA, S. X-RAY 7-10-2019 atier Counseled by Date P ature Date Signature of Witness Date NYI3/41-NEINYORK MCC EFTA00049322

BP.S358.060 MEDICAL TREATMENT REFUSAL SEP OS U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24.2019 Date COFRM I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the folio ing v possible consequences and/or complications may result because of my refusal to accept treaim ent: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental c dition, and release the Bureau of Prisons and its employees from any and all liability for respecting and Plowing my expressed wishes and directions. BEAUDOUI , ROBERT MD 7-24-2019 Counseled by Date • - •KZ .- x O rs Signature of Wines Date re‘ ee.tes p /res:ice a is Sign NYM--NEW YORK MCC Date ; EFTA00049323

BP-A0618 A&O DENTAL EXAMINATION JUN 16 (initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Occlusion: • 1 2 3 4 5 8 7 6 9 1011 --- 32 CC 31 30 28 28 27 2825 24 23 22 1213 14. 15 16 21 20 • 18 17 (AL Oral Hygiene: Good Fair / 00f CPITit 3 3 Head & Neck/ Soft Tissue: 3 3 a '0 to: I_ F: Classification: CL-t Pain Scale: /la Dental Prostheses et intake: Yes 'NW Age: lon: Co ne Comnin. 1 2 r-cCeSSion A, w 0.-,....\e4 Radiographs Taken: Yes No nC i ci isth Dio S$2.0J-e- t1 (Document findings • - It:1_5 idecel . (43,.sAJAjtiojourSc&11-4 on AB.O r Ur) Cram-oral Photos Taken: . Yea Instructed now le cbtaLn urgent and non-urgent dental cam Yes I No: Treatment Priorities: None: Non-urgent non-urgent Urgent RoteJTdi to Sick Can: Radiographs authorized: PM: Prophylaxis auttionzed: Yes I No I (Approval valid IS months from examination data) BWz Pantatex Pa Nam S —Cd 0 i -3—C-c-P-122 E Dentist Signature: 0 ILL.C.4-/-4 AA-L-- DDS' N1°nbst l 7G 3 i SC 051 Institution: / MCC NEW YORK Date: 7-26 -19. Signature 9 C. Ancrum rttp: DDS. POE Prowl fbod by P8403 Chief Dental Officer MCC New York Repiarin 8F-Aaala emu 10 EFTA00049324

BP-A0618 A&O DENTAL EXAMINATION JUN 16 (Initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Ocdus!on: • 1 2 3 4 5 6 7 6 0 10 11 12 13 14 15 16 O -23 31 30 29 28 27 28 25 24 23 22 21 20 18 • 18 17 CC *I Oral Hygiene: Good Fah CPITN: 3 Head & Neck / Soft Tissue • 3 3 Classification: CL Pain Scale: /1 Dental Prostheses at Intake: Yes No Typo: Aga: Condition: Cx a lotz 4, owssion La—xtd- c, OCR e , 1)25 )t .. ,c I a b,SeNede I —...4e4 or ca nsLiAc 4 2Sa ute4 Intrzenal Photos Taken: Yes 0 Radiographs Taken: (Occurrent findings on A&O encounter) Yes 31 • instructed how to obtain urgent and non-urgent dental care: Yes: i No: Treatment Priorities: None: Non-urgent Urgent Referred-to Sick Cal: non-urgent I , Radiographs authorized: PM: ' Prophylaxis authorized: Yes I No ' (Approval valid 18 months from examination date) BWs I Pan prat Pa Name: Dentist Signature: S te • c-Vitsz_v E 0 12_4(..4.,,,A.A.42- 1>r)..5 isfrimber Institution: / Date: Signature Blotk/Stamp: 76 3 I SIC 0S9 MCC NEW YORK 7- 26 --/ 9. C. Annum DDS. FOP Presciioed by P6400 hief Llenl9l icer MCC New York Replaces Br-A0818 of JUN ID EFTA00049325

0P-5358.060 MEDICAL TREATMENT REFUSAL CCFRM SEP 05 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 LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUIN. ROBERT MD 7-24-2019 Counseled by Dale Pal rills Sign te "Sr Signature of Wine s Date NYM-NEW YORK MCC EFTA00049326

@ Federal Bureau of Prisons Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sox M U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 Facility MCC New York Order Unit E06-547U Provider Robert Heaudouin, MD Sensitive But tipelassifled Collected 07/09/2019 13:34 itii Received 07/10/201 10:44 Reported 07/10/20 914:46 LIS ID 188191004 HIV HIV 1/2 Negative SaeenIng lost - See confirmatory testing (or Reactive results Negative I . FLAG LEGEND L=Low LI=Low Critical H=High HI=High Critical A=Abnorrnal Al =Abnormal Critical Page 3 of 3 EFTA00049327

Bureau of Prisons Health Services Cosign/Review I Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 0112011953 Sex: M Race: WHITE Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Facitity: NYM Cosigned by Beaudouln, Robert MD on 071141201918:12. i Bureau of Prisons - NYM EFTA00049328

INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. i understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and Its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUI , ROBERT MD 7-24.2019 Counseled by Date „l assie- -2 /Z , //Me Signature of Witn Date retCCear / 7747PC NYM-NEW YORK MCC Date BP-S358.050 SEP 05 U.S. DEPARTMENT OF JUSTICE MEDICAL TREATMENT REFUSAL 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 LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences andlor complications may result because of my refusal to accept treatment: ; EFTA00049329

BP-A0818 JUN 18 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS Occluslcm: • 1 2 1 41 6 8 7 8 9 tast 12 i3 14. 1S 18 (2 æ 32 31 39 29 25 27 28 25 24 23 22 21 20 19. 18 17 Oral Hygiene: Coed Pea CPITtt 3 3 3 2-I Head 8 Neck I Soft Ttsstm: C F: 1 (1 Classification: Pain Scale: /la Dental Proseriesas at trttalek Yes No 119e: Age: ØØn: Ct.iclinzntit 4 2 rk. 02 65 / / -ter Co-.. ton Iriibka on big Serti-e• • l Ae./1 tar Cart...klitt5 010 Sa ukd t., In/fa-oral Photos Taken: Yes 0 Radiographs Taken: (Document findings on A80 encounter) Yes No Instnicted how to obtain urger and non-urgent dental care: Yes: I Na Treatment Priarites: Nona Non-urgent non-urgent Urgent Re rnixl to Sick Cel: Radiographs authorized: PM: Prophylaxis authorized: Yes I No (Approval valid 18 months from examination data) EtWw Panama ‘n Pa t Nam& s._-Qj n , "3"--e5V- -it E. Dentist Sinalere: C 4_44.4.44,4...A.Aial>17.5 r Number. ' 76 3 Æ 059 Insttrution: MCC NEW YORK Date: 7-U.--19. Signature Mock/Stamp: C. Ancrum Dot PØ Prescribed by P6400 enter en MCC New York • Replaces: 6P-A061801JUN 10 EFTA00049330

BP-S353.050 SEP 05 U.S. DEPARTMENT OF JUSTICE MEDICAL TREATMENT REFUSAL C0F9m FEDERAL BUREAU OF PRISONS 7-24-2019 Date l, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Folderol Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) vies/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUI , ROBERT MD 7-24-2019 Counseled by Date 1 7Sf a Signature of WithWitnoSs Date NYIA-NEW YORK MCC Data EFTA00049331

BP-S358.C50 MEDICAL TREATMENT REFUSAL CDFRM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2010 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condfflon(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. The following treatrnentis)wastwere recommended: CHEST X-RAY Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: WORSENING THE CONDITION IF THERE IS ANY FINDINGS I I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and Its employees from arty and all liability for respecting and following my expressed wishes and directions. ESGUERRA, S. X-RAY 7-10-2019 Counseled by Date cir bicSit.:- -7- to - Signature of Witness Date Patien Sign Lure Date NYM-NEW YORK MCC EFTA00049332

BP-A0818 JUN 18 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION plait Clinigal Dental Findings) FEDERAL BUREAU OF PRISONS Occlusion: 1 2 3 4 (.19. 32 CC 31 30 20 • 5 8 7 0 9 10 11 1213 14- 15 18 28 27 28 25 2123 22 21 20 19 . 18 17 r d11 Oral Hygiene: Good Fair oor CPITTst 3 3 Head & Neck / Soft Tissue: 3 9 _t D: fit F Ciassiiication: cat Pain Scale: 110 ' Dental Prostheses at Intake: Yes No Type: Age: Comfaion: Canal 47 0: 0 4r eEtsa etV /71 / Vat' r-c(4 SS/ on Olo Sertbe— 1.4,_..Xe—c C.-N, e4 or Cayt4-iit 1 OkS6.14e4 intra-cral Photos Takerc Yes 0 Radiographs Taken: (Document findings on MO encounter) Yes No . instructed row to obtain urgent end non-urgent dental cam: Yes: 1 No: Treatment Priorities: Nona: Non-urgent I Urgent Reiem3d non-urgent to Sick Ca: , Radiographs authorized: PM: - Prophylaxis authorized Yes i No (Approval varid 18 months from examination date) BWs Panortec nt Name Pa ea S^Ci n i Jeclitrz.v s Dentist SIRrialuro: ( ' _4144...cm..., 441 1>Ds kistic:72Number. 7 7C) S N it OS1 Institution: / MCC NEW YORK Date: 7- 26 --1 9. Signature Mc kAtarrip: 1 C. Ancrum DS. PDF Prescribed by P6400 Cniet Uent Grazer MCC New York Replaces BihAtifrie of 46610 EFTA00049333

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 08/10/2019 07:25 Provider: CoJumbo, Joseph RN Reg #1 76318-0 Facility: NYM Unit: Z04 4 Emergency Code - Resuscitation Event encounter performed at Specie: Housing Unit. SUBJECTIVE: Emergency Note Provider: Columbo, Joseph RN Team Members: Provider Columbo, Joseph RN Team/Code Leader Code Events: Type CPR EKG/Monitor No shock advised CPR Oxygen IV Access 18 g Left AC Airway ET Tube 7.5 24CM to I_ Lip line Placed by Paramedics Medications Epinephrine 1mg IV 08/10/2019 07:10 Epinephrine 3 doses and Sodium bicarb 2 doses administered by paramedics CPR Compressions 08/10/2019 07:11 Value Compressions Lifepak Compressions 15L Peripheral IV Endotracheal Tube 08/10/2019 06:35 08/10/2019 06:39 08/10/2019 06:40 08/10/2019 06:47 08/10/2019 08:48 08/10/2019 07:08 Medications Sodium Bicarbonate 1 mEa/kg IV 08/10/2019 07:11 IV Fluids Normal Saline 0.9% 1000 ml 08/10/2019 07:12 Medications Epinephrine lung IV 08/10/201907:13 CPR Compressions 08/10/2019 07:14 Medications Sodium Bicarbonate 1 mEa/kg IV 08/10/201907:14 Medications Epinephrine lmg IV 08/10/201907:16 CPR Compressions 08/10/2019 07:17 Comments: Responded to a body alarm at 0635 for medical emergency on 9S, Upon arrival Inmate was received on the floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential Bruising around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses, Call place for EMS, CPR Continued, AED Placed No shock advised, CPR Continued, inmate transported to HSU treatment room with CPR in progress, 18g hep lock to L AC, O2 15 It ViA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Placed on cardiac monitor asystole Resumed CPR, inmate was intubeted by Medics, 3 Rounds of Epinephrine administertd, Pulse Check asystole, Inmate was transported to Local ER with CPR in progress. OBJECTIVE: Exam: General Appearance Yes: Unconscious Generated 08/10/2019 08:10 by Cotumbd Joseph RN Bureau of Pdeorrs - NYM Page 1 of 2 EFTA00049334

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 08/10/2019 07:25 Reg #: 76318-0 Sex: M Race: WHITE Facility: NYM Provider: Columbo, Joseph RN Unit: Z04 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Con4uliation/Procedurp Target Date Scheduled Target D_atit priority Emergency Room 08/10/2019 08/10/2019 Emergent No Subtype: AMBULANCE Reason for Request: Cardiac arrest with CPR in progress Copay RequIred:No Cosign Required: Yes TelephoneNerbal Order No Completed by Columbo, Joseph RN on 08/10/2019 08:10 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Translator Language Generated 08/10/2819 08:10 by Ganitribe: Joseph RN BUSEISU of Prisons • Wed Page 2 of 2 EFTA00049335

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 7631 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/30/2019 15:58 Provider. Beaudouin, Robert MD Unit 201 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: 8eaudouin, Robert MD Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK HE ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATES THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS H OF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE Al-IS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. t INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDICAL ISSUES. STATES HE FEELS OTHERWISE FINE. Pain: Not Applicable Seen for clinic(s): Pulmonary/Respiratory, Orthopedic/Rheumatology, Endocrine/Lipid OBJECTIVE: Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears In Pain, Writhing in Paln, Pale, Pallor, Cyanotic, Disheveled, Unkempt, Acutely III Nutrition No: Appears Obese Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscu gallon Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic aphoretic, Generated 07/30/2019 18:12 by Bea uckru!n, Robert MD Bureau al Pilsen.% - NYM Page 1 of 2 EFTA00049336

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07130/2019 15:58 Sex: M Race: WHITE Provider: Beaudouln, Robert MD Reg #: 76318-054 Facility: NYM Unit: 201 Exam: Cranial Nerves (CN) Yes: Within Normal limits Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength ASSESSMENT: Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current Constipation, unspecified, 10900 - Current Essential (primary) hypertension, 110 - Current - BY MX. Hypertipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Prediabetes, R7303 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Fatt Medication INsulln REG - Human Indication: Prediabetes Discontinued Medication Orders: Medication 122148-NYM Insulin Reg (10 Mt) 100 UNITS/ML lnj Order Data 07/30/2019 15:58 Prescriber Order SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Order Date Proscriber Artier 07/30/2019 15:58 Inject regular insulin subcutaneously per sliding scale: twice daily '"pill linen* for 7 days Discontinue Type: When Pharmacy Processes Discontinue Reason:new order written Indication: Copay Required: No TelephoneNerbal Order: No Completed by Beaudouln, Robert MD on 07/30/2019 16:12 Cosign Required: No Generated 07/10/2019 16:12 by Beaudouln, Roben MD Bureau of Prisons • NYM Page 2 of 2 EFTA00049337

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 11:12 Provider: Beaudouin, Robert MD Reg II: 76318-054 Facility: NYM Unit: 201 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, Robert MD Chief Complaint: Other Problem Subjective: PATIENT S REFERRED BY THE WARDEN FOR EVALUATION. PATIEN RTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO S NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STAT BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DEN SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING r OWING. HE REPORT A OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS H NEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN E SCE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I INFORME DHIM THAT WE R E l,P HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-ME UES. STATES HE FEELS OTHERWISE Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology. Respiratory OBJECTIVE: Pulse: Dee lime Rate Per Minute Location 07/30/2019 13:02 94 07/30/2019 09:40 88 Via Machine 07/30/2019 09:30 87 Via Machine Respirations: Time Rate Per Minute Provider 07/30/2019 09:30 NYM 12 Beaudouin, Robert MD Blood Pressure: Das Time Value Location Position 07/30/2019 13:02 NYM 114/84 Left Arm Standing 07/30/2019 09:40 NYM 125/60 Right Arm Standing 07/30/2019 09:30 NYM 108/86 Left Arm Sitting SaO2: Qete Time ValuerAil Air 07/30/2019 09:30 NYM 98 Room Air Weight: Rate Time Provider eaudouin, Robert MD ouin, Robert MD Robert MD Cuff Size Provider Beaudouin, Robert MD Beaudouin, Robert MD Beaudouin, Robert MD Provider Beaudouin, Robert MD Lb.S. Kg Waist Circum Provider Generated 07/30/2019 14:05 by Boaudouin. Robert MD Bureau of Prisons • NYM Page 1 of 3 EFTA00049338

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: Beaudouin, Robert MD Unit: 201 pan Time 07/30/2019 09:30 NYM 194.2 88.1 Beaudouin, Robert MD Us. Eg. Waist Circunt, Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic. Disheveled, Unkejii• '•fi cutely III Nutrition No: Appears On Pulmonary =W Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR 1 and S2 No: M/R/G Musculoskeletal Tibia Fibula No: Edema Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength ASSESSMENT: Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current Constipation, unspecified, K5900 - Current Essential (primary) hypertension, 110 - Current - BY HX. Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Prediabetes, R7303 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Medication Order Date prescriber Order Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons NYM Page 2 of 3 EFTA00049339

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 11:12 Provider: Beaudouin, Robert MD Reg ft: 76318.054 Facility: NYM Unit Z01 New Medication Orders: Medication Magnesium Hydroxide Susp conc 800 MG/5ML Indication: Constipation, unspecified INsulin REG - Human Indication: Prediabetes Renew Medication Orders: Exit 121836-NYM Medication methylPR ne 4 MG Tab ( 21 count Pack) Indication: a and neuritis, unspecified New Laboratory Requests: Details ?reticency Lab Tests - Short List-General-CBC w!diff ne Time Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensiv Metabolic Profde (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic Now Radiology Request Orders: Details General Radiology-Spine Cervical- General Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUI PLEASE PERFORM C SPINE SERIES Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format 07/30/2019 Counseling Frequency One Time HandswErsaia Access to Care 07/30/2019 Counseling Plan of Care Copay Required:No TelephoneNerbal Order: No Completed by Beaudouin, Robert MD on 07/30/2019 14:05 Cosign Required: No Order Date 07/30/2019 11:12 07/30/2019 11:12 Order Date 07/30/2019 11:12 Pue Date 08/01/201900:00 Routine Prescriber Order 10 CC Orally - TWO Times a Day PRN x 90 day(s) SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Prescriber Order Take the tablet by mouth as directed x 6 day(s) Priority Due Date 08/29/2019 Priority Routine R 2-3 MINUTES 3 DAYS AGO. st", ?troy' e Beaudotfjd, Robert Beaudouin, Robert Outcome Verbalizes Understanding Verbalizes Understanding Generated 07/30T2019 14:05 by Beaudouin. Robert MO Bureau of Prisons • NYM Page 3 of 3 EFTA00049340

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Dale of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: Beaudouin. Robert MD Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, Robert MD Chief Complaint: Other Problem Subjective: PATIENT S REFERRED BY THE WARDEN FOR EVALUATION. PATIEN RTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO S NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STAT BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENT SIDED WEAKNESS, DIPLOPIA. FACIAL DROOP. DIFFICULTY SPEAKING OWING. HE REPORT IA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS H NEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP4P,61 AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HEREkt CE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I INFORME DHIM THAT WE R EL1fED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-ME STATES HE FEELS OTHERWISE Pain: Not Applicable ES. Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, .„El Respiratory OBJECTIVE: Pulse: 12tta Time 07/30/2019 13:02 07/30/2019 09:40 07/30/2019 09:30 Respirations: Nis Time 07/30/2019 09:30 NYM Blood Pressure: Rate Per Minute 94 88 87 ()cation Via Machine Via Machine Rate Per Minute Provider 12 Beaudouin, Robert MD Date Time Value Location Position 07/30/2019 13:02 NYM 114/84 Left Arm Standing 07/30/2019 09:40 NYM 125/60 Right Arm Standing 07/30/2019 09:30 NYM 108/86 Left Arm Sitting SaO2: tale Time Value("/ ) Aji 07/30/2019 09:30 NYM 98 Room Air Weight: Pate lima Provider eaudouin, Robert MD ouin, Robert MD Cuff Size Provider Beaudouin, Robert MD Beaudouin, Robert MD Beaudouin, Robed MD Provider Beaudouin. Robert MD Liaa Kg Waist Circum Provider Generated 07130/2019 14:05 by Beaudouin, Robert MO Bureau of Prisons • NYM Page 1 of 3 EFTA00049341

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Reg #: 76318.054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin, Robert MD Unit: Z01 Dale Time 07/30/2019 09:30 NYM 194.2 88.1 Beaudouin, Robert MD 1.128 lig Waist Circum, Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, UnkeliV ..• cutely III Nutrition No: Appears O 'T Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Musculosel oe Yes: Regular Rate and Rhythm (RRR r , and S2 Nk o etal : M/PJG Tibia / Fibula Neurologic Cranial Nerves (CN) Yes: Within Normal Limits No: Edema F. Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength ASSESSMENT: Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current Constipation, unspecified, K5900 - Current Essential (primary) hypertension, 110 - Current - BY HX. Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Prediabetes, R7303 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order Generated 07/3012019 14:05 by Bellababbi• Rebell MD Bureau of Prisons • NYM Page 2 of 3 EFTA00049342

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/30/2019 11:12 Provider: M Race: WHITE Beaudouin, Robert MD New Medication Orders: Rx# Medication Order Date Magnesium Hydroxide Susp conc 800 07/30/2019 11:12 MG/5ML Indication: Constipation, unspecified INsulin REG - Human 07/30/2019 11:12 Indication: Prediabetes Renew Medication Orders: fIX# Medication Order Date 121836-NYM methylPR ne 4 MG Tab ( 21 count 07/30/2019 11:12 Pack) Indication: is and neuritis, unspecified New Laboratory Requests: Details V Frequency Due Date Priority Lab Tests - Short List-General-CBC w dill ne Time 08/01/2019 00:00 Routine Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensiv Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Rellex to Microscopic New Radiology Request Orders: Details frequency Due Date Priority General Radiology-Spine / Cervical- One Time 08/29/2019 Routine General Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NU PLEASE PERFORM C SPINE SERIES Reg #: 76318-054 Facility: NYM Unit: 201 Prescriber Order 10 CC Orally - Two Times a Day PRN x 90 day(s) SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Prescriber Order Take the tablet by mouth as directed x 6 day(s) Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format IlandoubTopic Outcome 07/30/2019 Counseling Access to Care Beaudou r, Robert Verbalizes Understanding 07/30/2019 Counseling Plan of Care Boaudouin, Robert Verbalizes Understanding R 2-3 MINUTES 3 DAYS AGO. Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by Beaudouin, Robert MD on 07/30/2019 14:05 Generated 07/30/2019 14:05 by Boaudouin, Robed MD Bureau of Prisons • NYM Page 3 of 3 EFTA00049343

Bureau of Prisons Health Services See Amendment Irmate Name: EPSTEIN, JEFFREY EDWARD Reg 1$: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHISE Encounter Date: 07/3012019 15:58 Facility: NYM Amendment made to this note by Bortndouin, Robert MD on 07/30/2019 16:12. Bureau el NYM EFTA00049344

ffcir AU 131 FROM: SUBJECT: MEMORANDUM FOR ALL ONCE NED G.CI UNITE. TATES GOVERNM Memorandum FEDERAL BUREAU OF PRISONS Metropolitan Correctional Center 150 Park Row New York New York 10007 July 23, 2019 eysofi, Operations Lieutenant Possible Suicide Attempt On July 23, 2019 at approx. 1:27 a.m., a call for assistance on the Special Housing Unit was announced by the Control Center. Upon my arrival I was informed that an inmate had attempted suicide and proceeded to cell, Z05-124LAD. I observed inmate Epstein, Jeffrey #76318-054 lying in the fetal position on the floor of his cell wearing a t-shirt and boxers. He was breathing heavily and was snoring. I called out to inmate Epstein and observed him flicker his eyes and continue snoring. His neck was red with no abrasions. I observed no further injuries to his person. An attempt was made to get the inmate to stand on his own with negative results. The inmate was placed in hand restraints and staff was directed to retrieve the stretcher. As inmate Epstein was being placed on the stretcher by responding staff, he would open his eyes and observe staff. When staff made eye contact with him, he would hurriedly shut his eyes. The inmate was taken to HA-Unit, dressed in the suicide smock and placed on suicide watch. While awaiting the arrival of an inmate companion, inmate Epstein sat on the edge of the bed and began moving forward as if he was attempting to fall over head first. When I looked away, he straightened up. As I turned to look at him again, he attempted the same act. I laid him down on the bed and directed him to cease his action or he would be placed in restraints for his safety. At that moment, he stated, "Okay, I won't do it again," and gave the thumbs up. Because of his unpredictable behavior, the decision was made to have a staff member observe inmate Epstein. I left HA-Unit in order to make staff notifications. Moments later, I spoke with Officer Clarke who stated that inmate Epstein was alert and had indicated that his cellmate, Tartaglione, Nicholas #78514-054 had attempted to kill him and had been harassing him. He stated that the inmate had indicated that he'd informed his attorney of this matter. I photographed and spoke with inmate Tartaglione, Nicholas #78514-054 who stated that he was asleep with his headphones on when he felt something hit his legs and said, "Jeff, what you're doing?" He didn't answer, so he got up, turned on the light and saw him with a string around his neck. He stated that he then called the guards and ASensitive Limited Official Use Odra- Tye/ EFTA00049345

, .) EFTA00049346

they ran down. Upon f,....ner questioning, inmate Tartaglione saiated that he sleeps on the bottom bunk, but gave it to inmate Epstein because he's old. He stated that he sleeps on the floor on a mattress. He stated that when he got up, he couldn't remember if he sat up or stood up to check on Epstein. He stated that Epstein was sitting on the floor leaning to the side with his eyes opened, but wasn't responding. He stated that the last time he saw him he was snoring really loud. Inmate Epstein stated that he came in from a legal visit at approx. 8:00PM and staff handed him a copy of the Daily News. "Nick" was on the floor reading the Daily News. He stated that he had given it to him. He stated that Tartaglione mentioned that he'd been in court all day in Westchester and was carrying on. At that point, inmate Tartaglione paused as if he was making the story up as he went along, and stated that Tartaglione stated, "These fucking niggers. This place is inhumane, I wish I could report it. Silva(Officer), that nigger hobbit mother fucker." He then turned to a page in the Daily News that had his picture on it and stated that Epstein was worth seventy seven million dollars. Epstein stated that he took his picture, balled it up and threw it in the garbage. I asked inmate Epstein what happened prior to staffs arrival. He stated that at approx. 1:00 AM, he'd gotten up to get a drink of water, as he gets up every thirty minutes. He remember walking back to his bunk and waking up with staff there in his cell. I asked if he'd waken up and seen staff, why didn't he respond when we were calling out to him? He stated that he only remembered hearing himself making a noise like snoring. When asked about the allegations against his cellmate, he stated that he was told, if he hurt him, staff wouldn't care. Duty medical, Dr. Beaudouin was notified and briefed. It was determined no further medical attention was needed. A medical assessment was not conducted at the time of this incident, due to the fact, there was no medical staff available after 10:00 PM. Upon the arrival of medical staff, inmate Epstein was examined and treated by, MLP Y. Joaquin for a circular line of erythema at the base of the neck, one section on the front with marks of friction and a small erythema on his left knee. ASensitive Limited Official Use Only= EFTA00049347

EFTA00049348

ffcir AU 131 FROM: SUBJECT: MEMORANDUM FOR ALL ONCE NED G.CI UNITE. TATES GOVERNM Memorandum FEDERAL BUREAU OF PRISONS Metropolitan Correctional Center 150 Park Row New York New York 10007 July 23, 2019 eysofi, Operations Lieutenant Possible Suicide Attempt On July 23, 2019 at approx. 1:27 a.m., a call for assistance on the Special Housing Unit was announced by the Control Center. Upon my arrival I was informed that an inmate had attempted suicide and proceeded to cell, Z05-124LAD. I observed inmate Epstein, Jeffrey #76318-054 lying in the fetal position on the floor of his cell wearing a t-shirt and boxers. He was breathing heavily and was snoring. I called out to inmate Epstein and observed him flicker his eyes and continue snoring. His neck was red with no abrasions. I observed no further injuries to his person. An attempt was made to get the inmate to stand on his own with negative results. The inmate was placed in hand restraints and staff was directed to retrieve the stretcher. As inmate Epstein was being placed on the stretcher by responding staff, he would open his eyes and observe staff. When staff made eye contact with him, he would hurriedly shut his eyes. The inmate was taken to HA-Unit, dressed in the suicide smock and placed on suicide watch. While awaiting the arrival of an inmate companion, inmate Epstein sat on the edge of the bed and began moving forward as if he was attempting to fall over head first. When I looked away, he straightened up. As I turned to look at him again, he attempted the same act. I laid him down on the bed and directed him to cease his action or he would be placed in restraints for his safety. At that moment, he stated, "Okay, I won't do it again," and gave the thumbs up. Because of his unpredictable behavior, the decision was made to have a staff member observe inmate Epstein. I left HA-Unit in order to make staff notifications. Moments later, I spoke with Officer Clarke who stated that inmate Epstein was alert and had indicated that his cellmate, Tartaglione, Nicholas #78514-054 had attempted to kill him and had been harassing him. He stated that the inmate had indicated that he'd informed his attorney of this matter. I photographed and spoke with inmate Tartaglione, Nicholas #78514-054 who stated that he was asleep with his headphones on when he felt something hit his legs and said, "Jeff, what you're doing?" He didn't answer, so he got up, turned on the light and saw him with a string around his neck. He stated that he then called the guards and ASensitive Limited Official Use Odra- Tye/ EFTA00049349

, .) EFTA00049350

they ran down. Upon f,....ner questioning, inmate Tartaglione saiated that he sleeps on the bottom bunk, but gave it to inmate Epstein because he's old. He stated that he sleeps on the floor on a mattress. He stated that when he got up, he couldn't remember if he sat up or stood up to check on Epstein. He stated that Epstein was sitting on the floor leaning to the side with his eyes opened, but wasn't responding. He stated that the last time he saw him he was snoring really loud. Inmate Epstein stated that he came in from a legal visit at approx. 8:00PM and staff handed him a copy of the Daily News. "Nick" was on the floor reading the Daily News. He stated that he had given it to him. He stated that Tartaglione mentioned that he'd been in court all day in Westchester and was carrying on. At that point, inmate Tartaglione paused as if he was making the story up as he went along, and stated that Tartaglione stated, "These fucking niggers. This place is inhumane, I wish I could report it. Silva(Officer), that nigger hobbit mother fucker." He then turned to a page in the Daily News that had his picture on it and stated that Epstein was worth seventy seven million dollars. Epstein stated that he took his picture, balled it up and threw it in the garbage. I asked inmate Epstein what happened prior to staffs arrival. He stated that at approx. 1:00 AM, he'd gotten up to get a drink of water, as he gets up every thirty minutes. He remember walking back to his bunk and waking up with staff there in his cell. I asked if he'd waken up and seen staff, why didn't he respond when we were calling out to him? He stated that he only remembered hearing himself making a noise like snoring. When asked about the allegations against his cellmate, he stated that he was told, if he hurt him, staff wouldn't care. Duty medical, Dr. Beaudouin was notified and briefed. It was determined no further medical attention was needed. A medical assessment was not conducted at the time of this incident, due to the fact, there was no medical staff available after 10:00 PM. Upon the arrival of medical staff, inmate Epstein was examined and treated by, MLP Y. Joaquin for a circular line of erythema at the base of the neck, one section on the front with marks of friction and a small erythema on his left knee. ASensitive Limited Official Use Only= EFTA00049351

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‘• C 4 es.. NOT Or J,, rr i Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Lieutenant's Photo Sheet Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFER}' REG#76318-054 I.ocation of Incident ZA Photograph(s) by Li. S. JEAN Date and Time of Photo 08/10/2019 6:49 AM 45 4 'I, it ......— •-• 7 A ‘', .. . Y J ill 410 i ' iii IOC: i C . . 4 • • EFTA00049353

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METROPOLITAN CORRECTIONAL CENTER NEW YORK JEFFREY, EPSTEIN REG. NO. 76318-054 PHOTOGRAPHS TAKEN 8-10-19 EFTA00049355

t ot Ot t4. ?' e r te * , z g cte- < e et v * Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REGI176318-05-1 Location of Incident LI Photograph(s) by D. S. JEAN Date and Time of Photo 08:10.20/9 6:49:131 Isit R II ;Ale. At . -S11% AnePtit s EMT N, , . EFTA00049356

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Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident ZA Photograph(s) by Lt. S. JEAN Date and Time of Photo 08/10/2019 6:49 AM EFTA00049358

Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEN JEFFERY REG#76318-0.54 Location of Incident ZA Photograph(s) by Lt. S. JEAN Date and Time of Photo 08/10/2019 6:49 AM EFTA00049359

Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG#76318-054 Location of Incident ZA Photograph(s) by D. S. JEAN Date and "lime of Photo 08/10/2019 6:49 AM EFTA00049360

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io.% OP„, • C, .P .• • c• . % 4., O. i RE .\C 6t Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Lieutenant's Photo Sheet Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REG476318-054 Location of Incident ZA Photograph(s) by Lt. S. JEAN Date and Time of Photo 08/10/2019 6:49 AM 46. •Ilb 4iti vire ..,,, ....orridelloi -.. I IIII .."-- ' \ I to EFTA00049362