Begin Date: 07/01/2019 End Date: 07/24/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Date lime Value(%) Air Provider 07/06/2019 21:43 NYM 95 Room Air Kang, Yoon PA-C Orig Entered: 07/06/2019 21:48 EST Kang, Yoon PA-C Height: Data Time McKee Ciii 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 07/06/2019 21:43 NYM 72.0 182.9 Kang, Yoon PA-C Orig Entered: 07/06/2019 21:48 EST Kang, Yoon PA-C Weight: Date Time Lae Kg Waist Circum Provider 07/09/2019 12:49 NYM 194.4 88.2 Joaquin, Y. MLP Orig Entered: 07/09/2019 12:51 EST Joaquin, Y. MLP 07/06/2019 21:43 NYM 200.0 90.7 Kang, Yoon PA-C Orig Entered: 07/06/2019 21:48 EST Kang, Yoon PA-C Generated 07/24/2019 10:37 by Aassiddaa, Joy FOIA Bureau of Prisons - NYM Page 2 of 2 EFTA00045668

Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY 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: 07/062019 21:43 EST Kang. Yoon PA-C Orig Entered: 07/09/2019 12:47 EST Joaquin. Y. MLP Total: 1 Generated 07/24/2019 10:37 by Aassiddaa. Joy FOIA Coordinator Bureau of Prisons - NYM Page 1 el 1 EFTA00045669

Bureau of Prisons Health Services Pain Management Begin Date: 07/01/2019 End Date: 07/24/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Date Intervention 07;12:2019 13:25 MEDROL DOSE PACK Orig Entered: 07/12/2019 13:28 EST Beaudouin, Robert MD Pain Quality Location AF v Post Provider Shooting Back-Middle 5 Beaudouin. Robert MD Generated 07,24,2019 10:37 by Aassiddaa. Joy FOIA Coordinator Bureau of Prisons - NYM Page 1 of 1 EFTA00045670

Bureau of Prisons Health Services Allergies Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Allergy. Date Noted Reaction No Known Allergies 07/06/2019 Orig Entered: 07:06,2019 21:40 EST Kang. Yoon PA-C Total: 1 Generated 07/2412019 10:37 by Aassiddaa. Joy FOIA Bureau of Prisons - NYM Page 1 of 1 EFTA00045671

Bureau of Prisons Health Services Patient Education Assessments & Topics Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Assessments Assessment Learns Best By Primary Language Years of Education Barriers To Education 07/09/2019 Speaking/Listening English 12 None Orig Entered: 07/09/2019 12:52 EST Joaquin, Y. Total: 1 Date Initiated format 07/23/2019 07/23/2019 07/14/2019 07/12/2019 Total: 4 Counseling ()rig Entered: 07/23/2019 Counseling Orig Entered: 07/23/2019 Counseling Orig Entered: 07/14/2019 Counseling Orig Entered: 07/12/2019 HandouvTopic Access to Care 09:04 EST Joaquin, Y. Plan of Care 09:04 EST Joaquin, Y. Diagnosis 18:11 EST Beaudouin, Robert Diagnosis 13:33 EST Beaudouin, Robert Topics Outcome Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Provider Joaquin, Y. Provider Joaquin, Y. Joaquin, Y. Beaudouin, Robert Beaudouin, Robert Generated 07/24/2019 10:37 by Aassiddaa, Joy FOIA Coordinator Bureau of Prisons - NYM Page 1 of 1 EFTA00045672

Bureau of Prisons Health Services Health Problems Reg #: 76318.054 Inmate Name: EPSTEIN, JEFFREY Description Axis Code Type Code Diag. Date Status Status Date Current Hyperlipidemia, unspecified 07/12/2019 13:48 EST Beaudouin, Robert MD ICD-10 E785 07/12/2019 Current HYPERTRIGLYCERIDEMIA Sleep apnea 07/12/2019 13:56 EST Beaudouin, Robert MD ICD-10 G4730 07/12/2019 Current Constipation, unspecified 07/09/2019 12:58 EST Joaquin, Y. MLP ICD-10 K5900 07/09/2019 Current Low back pain 07/12/2019 13:30 EST Beaudouin, Robert MD ICD-10 M545 07/12/2019 Current Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST Beaudouin, Robert MD ICD-10 M792 07/12/2019 Current No Diagnosis 07/09/2019 10:28 EST Miller, Elissa PhD/Chief I DSM-IV No Dx 07/09/2019 Current Psychologist Injury, unspecified 07/23/2019 09:04 EST Joaquin, Y. MLP ICD-10 T1490 07/23/2019 Current R/O self inflicted injuries. Total: 7 Generated 07/24/2019 10:37 by Aassiddaa, Joy FOIA Coordinator Bureau of Prisons - NYM Page 1 of 1 EFTA00045673

Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY 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 Add R: R: L: L: Color Test: Tonometry: R: L: Comments: Needs evaluation with optometrist. Or's' Entered: 07/09/2019 12:54 EST Joaquin, Y. MLP Generated 07/24/2019 10:37 by Aassiddaa, Joy FOIA Bureau of Prisons - NYM Page 1 of 1 EFTA00045674

Bureau of Prisons Health Services Immunizations Begin Date: 07/01/2019 Reg #: 76318-054 End Date: 07/24/2019 Inmate Name: EPSTEIN, JEFFREY 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 Administered Location 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 Dosage Drug Mfg, Lot/ Exp Date Generated 07/24/2019 10:37 by Aassiddaa, Joy FOIA Coordinator Bureau of Prisons - NYM Page 1 of 1 EFTA00045675

Burcuu of Prisons Hean Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Housing Status confined to the living quarters except _meals pill line treatments on complete bed rest: _bathroom privileges only X cell: cell on first floor single cell X lower bunk airborne infection isolation other: Physical Limitation/Restriction all sports weightlifting: upper body _lower body cardiovascular exercise: _running _jogging _walking _softball _football _basketball _handball _stationary equipment other: May have the following equipment in his / her possession: Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Health Services Staff Joaquin, Y. MLP Inmate Name: EPSTEIN, JEFFREY EDWARD ALL EXPIRATION DATES ARE AT 24:00 Reg #: 76318-054 Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: 07/09/2019 Date Quarters: H01 10:09/2019 Generated 07/24/2019 10:37 by Aassiddaa. Joy FOIA Bureau of Prisons • NYM Page t of 1 EFTA00045676

Bureau of Prisons Health Services Medication Summary Historical Complex: NYM--NEW YORK MCC Inmate: EPSTEIN. JEFFREY• Begin Date: 07/01/2019 End Date: 07/24/2019 Reg #: 76318-054 Quarter: H01-001L Medications listed reflect prescribed medications from the begin date to end date on this report. 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 WC: 07/12/19 Pharmacy Dispensings: 10 TAB in 15 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 Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML shake well take 2 tablespoonful twice daily by mouth Rx#: 121835-NYM Doctor: Beaudouin, Robert MD Start: 07/12/19 Exp: 07/14/19 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 Omega 3 (Vascepa) 1 GM Capsule Take two capsules (2 GM) twice daily by mouth with food Rx#: 121885-NYM Doctor: Beaudouin, Robert MD Start: 07/17/19 Exp: 01/13/20 Pharmacy Dispensings: 60 CAP in 12 days Pharmacy Dispensings: 473 ML in 12 days Pharmacy Dispensings: 21 tab in 12 days Pharmacy Dispensings: 120 Cap in 7 days Generated 07/24/2019 10:37 by Aassiddaa, Joy FOIA Bureau of Prisons - NYM Page 1 of 1 EFTA00045677

Bureau of Prisons Health Services Dental Soap/Admin Encounter Inmate Name: EPSTEIN, JEFFREY 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 Asst Unit: Z05 Screening encounter at Dental Clinic. Reason Not Done: Unavailable Comments: Patient has had several call outs for his Dental A & O screening but has not been escorted to the dental clinic. Cosign Required: No Completed by DeBruce, Juanita Dental Asst on 07/19/2019 13:49. Generated 07/19/2019 13:49 by DeBruce. Juanita Dental Bureau of Prisons • NYM Page 1 of 1 EFTA00045678

Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/23/2019 10:09 Provider: lmeri, Darlene PsyD Reg #: 76318-054 Unit Team: 5 Type of Housing: SHU- Administrative Segregation Cell Accommodation: Double-Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record. Psychology Data System, Sentry Reason for Referral The On Call Psychologist, Dr. Miller, had been contacted by the Operations Lt. at about 2 AM on 7/23/19 to inform her that Mr. Epstein was being placed on Suicide Watch because he was found with a string around his neck. Mr. Epstein was seen by this writer for a Suicide Risk Assessment at about 9:10 AM on 7/23/19. This note is being entered at about 3:35 PM on 7/23/19. Mental Health History According to a Suicide Risk Assessment dated 7/09/19 by Dr. Miller, "Inmate Epstein denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time? Self-Harm History According to a Suicide Risk Assessment dated 7/09/19 by Dr. Miller, "Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past." Substance Abuse History According to a Suicide Risk Assessment dated 7/09/19 by Dr. Miller, "Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol." Current Problem Earlier this morning Mr. Epstein was found by SHU staff in his cell with a string loosely tied around his neck. It is unclear at this time if Mr. Epstein had placed the string around his own neck. When Mr. Epstein was asked by this writer how he ended up on Suicide Watch, he denied remembering. He stated he got a drink of water last night in his cell and went back to bed. He said the next thing he remembered is hearing himself snore. He said he wants to know why he is on Suicide Watch. He was informed that staff stated he was found in his cell with a string on his neck. According to Medical records, he had been seen by Medical for this and had a rule out of self inflicted injuries. When this writer reviewed the Staff Suicide Watch Log, it noted that Mr. Epstein told the staff watching him that his cellmate tried to kill him, which Mr. Epstein did not tell this writer when this writer had interviewed Mr. Epstein. This writer was not able to ask Mr. Epstein about this, since Mr. Epstein was now in Legal. The Captain was notified about this notation and the Captain stated they were already aware of this statement. Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Generated 07/23/2019 15:38 by Imeri, Darlene PsyD Bureau of Prisons - NYM Page 1 of 3 EFTA00045679

Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/23/2019 10:09 Provider: Imeri, Darlene PsyD Reg #: 76318-054 Unit Team: 5 Thought Process: Goal Directed Thought Content: Normal Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. RISK AND PROTECTIVE FACTORS ASSESSED• This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, View of death as negative, Willingness to engage in treatment Risk Factors: He was found by staff in his cell in SHU with a string loosely tied around his neck, which Mr. Epstein stated he did not remember anything about. It is unclear at this time if Mr. Epstein had placed the string around his own neck or if someone else did. According to Medical, he had a circular line around the base of his neck, which he denied knowing how he obtained. He stated his throat hurts which was reported to Medical. He has a high profile sex offense case and recently was denied bail. When asked if he has any friends or family that are emotionally supportive, he stated he does not know what that means. When emotional supports were explained to him and then again asked if he as any family or friends that are emotionally supportive, he was vague and said he has a lot of people. Protective Factors: He denied current suicidal or self harm thoughts or ever having these thoughts. He denied a history of self harm and suicide attempts. He denied a family history of suicidal and self harm attempts. He denied having any chronic medical conditions. He denied feeling hopeless. He denied a history of childhood abuse. He denied fearing for his safety. He denied feeling like a burden to anyone. He reported he is sleeping adequately. He stated he lives to have fun, to enjoy life, and to learn. He said his future plans include fighting his case and going back to his normal life. Whereas, he is denying suicidal and self harm thoughts and has a lot of protective factors, he is denying that he remembers how he ended up on Suicide Watch and has marks encircling his neck. It is unclear at this time if he had placed the string around his neck or if someone else did. He will remain on Suicide Watch for further observation and safekeeping. DIAGNOSIS; No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Moderate Overall Chronic Suicide Risk for this Inmate is: Absent RECOMMENDATIONS 1. Mr. Epstein will remain on Suicide Watch for further observation and safekeeping. 2. While on Suicide Watch, he will be continuously observed by Inmate Companions. 3. While on Suicide Watch, he will be seen daily by Psychology. 4. Supportive and educative interventions were provided. 5. Medical was informed that he reported his throat hurts. Suicide Watch: A suicide watch was initiated by non-clinical staff and continues to be warranted Suicide Watch was initiated on: 07/23/2019 01:40 Generated 07/23/2019 15:38 by Imeri, Darlene PsyD Bureau of Prisons - NYM Page 2 of 3 EFTA00045680

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: 5 Date: 07/23/2019 10:09 Provider: Imeri, Darlene PsyD Completed by 'men, Darlene PsyD on 07/23/2019 15:38 Generated 07/23/2019 15:38 by Imeri, Darlene PsyD Bureau of Prisons - NYM Page 3 of 3 EFTA00045681

Bureau of Prisons Psychology Services General Administrative Note "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/23/2019 07:56 Provider: Miller, Elissa PhD/Chief Reg #: 76318-054 Unit Team: 5 Comments This On-Call Psychologist was contacted by the Operations Lt. at about 2 AM on 7/23/19 to inform Mr. Epstein was being placed on Suicide Watch because he was found with a string loosely hanging around his neck. Mr. Epstein will be seen today by the duty psychologist for a Suicide Risk Assessment. Completed by Miller, Elissa PhD/Chief Psychologist on 07/24/2019 07:59 Generated 07/24/2019 07:59 by Miller. Elissa PhD/Chief Bureau of Prisons - NYM Page 1 of 1 EFTA00045682

Bureau of Prisons Psychology Services SHU Review "SENSITIVE BUT UNCLASSIFIED— Inmate Name: Date of Birth: Date: EPSTEIN, JEFFREY 01/20/1953 Sex: M Facility NYM 07/18/2019 07:21 Provider: Miller, Elissa PhD/Chief Reg #: 76318-054 Unit Team: A&O Placed in SHU: Status: Basis of Review: Mental Status: 07/10/2019 ADMIN.DETENTION Inmate was interviewed No significant mental health issues. Type: Threat to Self: Adjustment: Threat to Others: SHU Low Satisfactory, segregation not detrimental Low Comments Monthly SHU Review Note Inmate Epstein was meeting with his legal team today and has a court hearing. He was not able to be seen for a SHU review. Another attempt to interview him for a SHU review will be done in the near future. Completed by Miller, Elissa PhD/Chief Psychologist on 07/18/2019 12:06 Generated 07/18/2019 12:06 by Miller. Elissa PhD/Chief Bureau of Prisons • NYM Page 1 of 1 EFTA00045683

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/16/2019 12:48 Provider: Miller, Elissa PhD/Chief Reg #: 76318-054 Unit Team: A&O Focus of Session Inmate Epstein called for this writer in attorney conference today. The officer in attorney conference notified this writer that he was asking to be seen. Subjective/Objective Presentation Inmate Epstein reported he has not received a spoon or soap in SHU, nor did he receive the phone calls that were "promised to him: He told this writer we need to have mutual trust that his needs are met in the prison. This writer told inmate Epstein that she would address his concerns. On the way out, a staff member told this writer she witnessed inmate Epstein receive two phone calls from the Lt. Nonetheless, this writer informed the SHU lieutenant of his concerns and he said he would ensure that he had soap, a spoon, and his initial SHU phone call. Inmate Epstein did not have any psychological concerns today. He denied any mental health symptoms or suicidality. He has been eating as best as he can and has requested a Kosher diet. tntervention(s) Inmate EPSTEIN was provided with brief supportive and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. He continued with his legal visit. Progress/Plan Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He was reminded of the self-help books and audiotapes available through the Psychology department. There appears to be no need for follow up at this time. He will be seen in SHU for rounds and monthly SHU reviews. Completed by Miller, Elissa PhD/Chief Psychologist on 07/18/2019 13:05 Generated 07/18/2019 13:05 by Miller. Elissa PhD/Chief Bureau of Prisons - NYM Page 1 of 1 EFTA00045684

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/11/2019 15:21 Provider: Miller, Elissa PhD/Chief Reg #: 76318-054 Unit Team: A&O Focus of Session Inmate Epstein was seen for his psychological observation follow-up in attorney conference this afternoon. Subjective/Objective Presentation Inmate Epstein reported he has been consulting with his attorney most of the day. He elucidated concerns about his incarceration including not receiving his property yet in SHU, feeling cold in his cell, not receiving his Colace, not having enough water in attorney conference, and a desire to recreate in SHU.' Inmate Epstein was also upset about wearing an orange jumpsuit and being treated like "a bad guy" when he did not do anything wrong in the prison. Custody and security concerns were addressed with inmate Epstein including why he has to wear his orange jumpsuit (due to his being housed in SHU). He requested that he be placed in a brown uniform during his legal visits. He was told his concerns would be addressed in the SHU meeting. Inmate Epstein stated he is not having any current problems with his cellmate and indicated he at bran cereal for breakfast and took a shower yesterday. He did not sleep well last night. Inmate Epstein continues to deny any suicidal ideation, intention or plan. He did not appear to be in any distress at this time. fnterventionisi Inmate EPSTEIN was provided with brief supportive interventions, CBT-based interventions, and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. Progress/Plan Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He was reminded of the self-help books and audiotapes available through the Psychology department. He will be seen next week after his bail hearing to assess his mental status and psychological stability. Completed by Miller, Elissa PhD/Chief Psychologist on 07/12/2019 07:51 Generated 07/12/2019 07:51 by Miller. Elissa PhD/Chief Bureau of Prisons - NYM Page 1 of 1 EFTA00045685

Bureau of Prisons Psychology Services General Administrative Note "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/11/2019 14:28 Provider: Imeri, Darlene PsyD Reg #: 76318-054 Unit Team: A&O Comments This writer attempted to see Mr. Epstein in the morning and then again in the afternoon for a Psych Observation Follow Up, but he was in Attorney Conference. Completed by Imeri, Darlene PsyD on 07/11/2019 15:51 Generated 07/11/2019 15:51 by Imeri, Darlene PsyD Bureau of Prisons - NYM Page 1 of 1 EFTA00045686

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/10/2019 08:38 Provider: Miller, Elissa PhD/Chief Reg #: 76318-054 Unit Team: A&O Focus of Session Inmate Epstein was seen today for a psychological observation contact in the hospital area by this writer. Subjective/Objective Presentation Inmate Epstein appeared well and it was noted in his log book and eating/sleeping chart that he has been eating his meals, sleeping, interacting with the inmate companions, and pacing in his cell. Today, he presented this writer with numerous concerns and requests. He stated he does not want to be housed in the SHU because he is not comfortable there; he wants to be single-celled if he goes to the SHU; he wants Colace, not the Ducolex he received from medical yesterday; he wants to be able to walk around and go to recreation: he does not want to wear an orange uniform to his legal visits because he is treated "like a punished inmate;" he wants a phone call before he leaves the psychological observation area; he wants a shower and towel; he would like to be housed in the cadre (5S) unit; and would like his property, paper, and a pen. Inmate Epstein's concerns were addressed by this writer and it was explained to him he will not be single-celled or placed in a housing unit for safety and security concerns. His medical concerns (constipation) were discussed with health services as well as his desire to be placed on Colace. Inmate Epstein was provided a shower this morning. intervention(s) Inmate Epstein was provided with supportive intervention and coping skills strategies today. He was receptive to interventions and was able to elucidate his various needs. He did not present with any acute psychopathology and continues to deny any suicidal ideation, intention, or plan. He is looking forward to his bail hearing on Monday but stated he is aware that even if he gets bail, it will take at least two weeks to sort things out so he can leave the jail. afigfeaSfliffi Inmate Epstein is not in any psychological distress, does not present with any mental health symptoms or complaints, and is denying any suicidality. He appears psychologically stable at this time and can be released from the psychological observation area. Inmate Epstein will be housed in the 9S area with a cellmate. He will be seen again tomorrow by psychology to evaluate his mental status and psychological stability. Completed by Miller, Elissa PhD/Chief Psychologist on 07/10/2019 09:09 Generated 07/10/2019 09:09 by Miller. Elissa PhD/Chief Bureau of Prisons - NYM Page 1 of 1 EFTA00045687

Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/09/2019 10:13 Provider: Miller, Elissa PhD/Chief Reg #: 76318-054 Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/Symptom Inmate Epstein was seen by this writer for suicide risk assessment today, 7/9/19 at 7:30 a.m. for precautionary reasons. He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein returned from court after duty hours yesterday evening and staff notified the on•call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment in order to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I 'No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by Miller, Elissa PhD/Chief Psychologist on 07/09/2019 10:40 Generated 07/09/2019 10:40 by Miller. Elissa PhD/Chief Bureau of Prisons - NYM Page 1 of 1 EFTA00045688

Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation **SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Date: 07/09/2019 10:13 Sex: M Facility: NYM Provider: Miller, Elissa PhD/Chief Reg #: 76318-054 Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in thgpast. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink Inmate Epstein was seen health items or symptoms on h Epstein has various risk factors charges, pre-trial status, and he had legal situation. Inmate Epstein return psychologist. Inmate Epstein was placed on interview him this morning to conduct a tor suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health proble s not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment any history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologic nd is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-M e of an inmate who either has no identifiable mental illness (Axis I 'No Diagnosis") or is mildly ill and requires ention on an as-needed basis. Care Level Formulation 'sk assessment today for precautionary reasons. He did not mark any mental ology Questionnaire (PSI()) when he entered the institution. Nonetheless, Inmate y including a high profile case with media attention, sex offense/trafficking proceeding yesterday which could have given him bad news regarding his om court er duty hours yesterday evening and staff notified the on-call onary psychological observation status until psychology could risk assessment to determine whether he is currently at-risk for CARE1-MH is indicative of an inmate who shows no significant level of illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by Miller, Elissa PhD/Chief Psychologist on 07/09/2019 10:32 airment associated with a mental Generated 07/09/2019 10:32 by Miller. Elissa PhD/Chief Bureau of Prisons - NYM Page 1 of 1 EFTA00045689

Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation **SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Date: 07/09/2019 10:13 Sex: M Facility: NYM Provider: Miller, Elissa PhD/Chief Reg #: 76318-054 Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in thgpast. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink Inmate Epstein was seen health items or symptoms on h Epstein has various risk factors charges, pre-trial status, and he had legal situation. Inmate Epstein return psychologist. Inmate Epstein was placed on interview him this morning to conduct a tor suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health proble s not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment any history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologic nd is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-M e of an inmate who either has no identifiable mental illness (Axis I 'No Diagnosis") or is mildly ill and requires ention on an as-needed basis. Care Level Formulation 'sk assessment today for precautionary reasons. He did not mark any mental ology Questionnaire (PSI()) when he entered the institution. Nonetheless, Inmate y including a high profile case with media attention, sex offense/trafficking proceeding yesterday which could have given him bad news regarding his om court er duty hours yesterday evening and staff notified the on-call onary psychological observation status until psychology could risk assessment to determine whether he is currently at-risk for CARE1-MH is indicative of an inmate who shows no significant level of illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by Miller, Elissa PhD/Chief Psychologist on 07/09/2019 10:32 airment associated with a mental Generated 07/09/2019 10:32 by Miller. Elissa PhD/Chief Bureau of Prisons - NYM Page 1 of 1 EFTA00045690

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 10:13 Facility: NYM Amendment made to this note by Miller, Elissa PhD Chief Psychologist on 07'09 2019 10:40. Bureau of Prisons - NYM EFTA00045691

Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Medical Record, Clinical Interview Inmate Epstein was placed on psychological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He is not on a suicide watch at this time. He was seen this morning for a psychological observation contact and suicide risk assessment this morning, 7/9/19, at 7:30 a.m. as it was determined he possessed some at-risk factors for suicidality. Reason for Referral Inmate Epstein is being seen for suicide risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at this time including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. As such, this writer instructed R&D staff, as well as the Lieutenant's Office, to immediately notify the psychology department when he returned from court. Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notified the on-call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a suicide risk assessment. Developmental History Inmate Epstein denied any history of being the victim and/or perpetrator of physical or sexual abuse. Educational History/Cognitive Impairment Inmate Epstein reported he obtained his high school diploma and attended some graduate classes in the area of mathematics. Arrest History and Experience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jail on sex offense charges (soliciting prostitution) in the past. He is now being charged with sex trafficking, on a federal level. Mental Health History Inmate Epstein denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Medical Concerns Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time. Current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution. Current Mental Status Generated 07/10/2019 09:20 by Miller, Elissa PhD/Chiel Bureau of Prisons - NYM Page 1 of 3 EFTA00045692

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist 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 Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS ASSESSED• This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Sex offender status, Lack of family connections, High Profile Crime Of the DYNAMIC risk factors assessed, none were found to be present. The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Willingness to engage in treatment, View of death as negative, Future orientation, Denial of suicidal ideationAntentiorVplans, Adequate problem solving skills, Able to identify reasons to live As noted above, Inmate Epstein is a 66-year-old Caucasian male. He has various risk factors for suicidality at this time including a high profile case with extensive media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not have a close relationship with. Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is going to be released from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "being alive is fun." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "competent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS: No Diagnosis, No Dx - Current Generated 07/10/2019 09:20 by Miller, Elissa PhD/Chiel Bureau of Prisons - NYM Page 2 of 3 EFTA00045693

Inmate Name: EPSTEIN, JEFFREY Reg ff: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent FIECOMMENDATIONS Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up. He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Suicide Watch: A suicide watch is not warranted at this time Completed by Miller, Elissa PhD/Chief Psychologist on 07/10/2019 09:20 Generated 07/10/2019 09:20 by Miller, Elissa PhD/Chief Bureau of Prisons - NYM Page 3 of 3 EFTA00045694

Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record Inmate Epstein was placed on chological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He i a suicide watch at this time. Reason for Referral Inmate Epstein is being seen e risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at thi • ing a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court o ing yesterday which could have given him bad news regarding his legal situation. As such, this writer instruc &D staff s well as the Lieutenant's Office, to immediately notify the psychology department when he returned fro Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notifi -call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psycho/.. o ' .terview him this morning to conduct a suicide risk assessment. Developmental History Inmate Epstein denied any history of being the victim •etrator of physical or sexual abuse. Educational History/Cognitive Impairment Inmate Epstein reported he obtained his high school diplom d some graduate classes in the area of mathematics. Arrest History and Exoerience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jail se charges (soliciting prostitution) in the past. He is now being charged with sex trafficking, on a federal level. Mental Health History le Inmate Epstein denied any history of mental health treatment, either on an inpat tient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also d ljyacute mental health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever ging in any suicide attempts or self-injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Medical Concerns Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time. Current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution. Current Mental Status Level of Consciousness: Alert and Oriented Generated 07/09/2019 10:36 by Miller, Elissa PhD/Chief Bureau of Prisons - NYM Page 1 of 3 EFTA00045695

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EP a neutral affect with appropri and volume. His thoughts irrelevant content. There not engage in any bizarre or ina explicitly denied recent and curre commitment to life and safety, agree' IN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited e. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, nized and coherent, with no loosening of associations or tangential, circumstantial, or e of perceptual disturbance, delusional ideation, or a formal thought disorder. He did e behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN eation, planning, and intent. He was future-oriented and expressed a act staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS SSED• This writer screened the inmate for a variety of suicide. The following STATIC risk factors were assessed t behaviors: High Profile Crime, Lack of family connect' Of the DYNAMIC risk factors assessed, none were foun validated factors commonly associated with risk for self-harm and and increase the inmate's risk for engaging in suicide related ender status st. The following PROTECTIVE factors were assessed to be pres m y decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suici ention/plans, Future orientation, View of death as negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He tVr k factors for suicidality at this time including a high profile case with extensive media attention, sex offense/tr c rges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his leg l Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not hay cl tionship with. Despite these risk factors, inmate Epstein possesses a number of protective factors atRfi Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requeste all, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writ r d said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is go g t sed from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "bei fun." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as mpetent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS* No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated 07/09/2019 10:36 by Miller, Elissa PhD/Chiel Bureau of Prisons - NYM Page 2 of 3 EFTA00045696

Inmate Name: EPSTEIN, JEFFREY Reg ff: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist RECOMMENDATIONS Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up. He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Suicide Watch: A suicide watch is not warranted at this time Completed by Miller, Elissa PhD/Chief Psychologist on 07/09/2019 10:36 Generated 07/09/2019 10:36 by Miller, Elissa PhD/Chief Bureau of Prisons - NYM Page 3 of 3 EFTA00045697

Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record Inmate Epstein was placed on chological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He i a suicide watch at this time. Reason for Referral Inmate Epstein is being seen e risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at thi • ing a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court o ing yesterday which could have given him bad news regarding his legal situation. As such, this writer instruc &D staff s well as the Lieutenant's Office, to immediately notify the psychology department when he returned fro Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notifi -call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psycho/.. o ' .terview him this morning to conduct a suicide risk assessment. Developmental History Inmate Epstein denied any history of being the victim •etrator of physical or sexual abuse. Educational History/Cognitive Impairment Inmate Epstein reported he obtained his high school diplom d some graduate classes in the area of mathematics. Arrest History and Exoerience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jail se charges (soliciting prostitution) in the past. He is now being charged with sex trafficking, on a federal level. Mental Health History le Inmate Epstein denied any history of mental health treatment, either on an inpat tient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also d ljyacute mental health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever ging in any suicide attempts or self-injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Medical Concerns Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time. Current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution. Current Mental Status Level of Consciousness: Alert and Oriented Generated 07/09/2019 10:36 by Miller, Elissa PhD/Chief Bureau of Prisons - NYM Page 1 of 3 EFTA00045698

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EP a neutral affect with appropri and volume. His thoughts irrelevant content. There not engage in any bizarre or ina explicitly denied recent and curre commitment to life and safety, agree' IN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited e. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, nized and coherent, with no loosening of associations or tangential, circumstantial, or e of perceptual disturbance, delusional ideation, or a formal thought disorder. He did e behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN eation, planning, and intent. He was future-oriented and expressed a act staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS SSED• This writer screened the inmate for a variety of suicide. The following STATIC risk factors were assessed t behaviors: High Profile Crime, Lack of family connect' Of the DYNAMIC risk factors assessed, none were foun validated factors commonly associated with risk for self-harm and and increase the inmate's risk for engaging in suicide related ender status st. The following PROTECTIVE factors were assessed to be pres m y decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suici ention/plans, Future orientation, View of death as negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He tVr k factors for suicidality at this time including a high profile case with extensive media attention, sex offense/tr c rges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his leg l Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not hay cl tionship with. Despite these risk factors, inmate Epstein possesses a number of protective factors atRfi Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requeste all, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writ r d said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is go g t sed from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "bei fun." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as mpetent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS* No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated 07/09/2019 10:36 by Miller, Elissa PhD/Chiel Bureau of Prisons - NYM Page 2 of 3 EFTA00045699

Inmate Name: EPSTEIN, JEFFREY Reg ff: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: Miller, Elissa PhD/Chief Psychologist RECOMMENDATIONS Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up. He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Suicide Watch: A suicide watch is not warranted at this time Completed by Miller, Elissa PhD/Chief Psychologist on 07/09/2019 10:36 Generated 07/09/2019 10:36 by Miller, Elissa PhD/Chief Bureau of Prisons - NYM Page 3 of 3 EFTA00045700

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 08:41 Facility: NYM Amendment made to this note by Miller, Elissa PhD Chief Psychologist on 07'10 2019 09:20. Bureau of Prisons - NYM EFTA00045701

Bureau of Prisons Psychology Services General Administrative Note "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/08/2019 10:41 Provider: Miller, Elissa PhD/Chief Reg #: 76318-054 Unit Team: A&O Comments This writer consulted with Dr. Robert Nagle, Central Office, regarding inmate Epstein. Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense charges, pre-trial status, and a court proceeding today which could potentially be giving him bad news regarding his legal situation. As such, when inmate Epstein returns from court, R&D staff as well as Lieutenant's have been informed to immediately notify the psychology department. If he returns after duty hours, the aforementioned staff were instructed to notify the on-call psychologist and to place inmate Epstein on a watch status until psychology can conduct a thorough suicide risk assessment. Completed by Miller, Elissa PhD/Chief Psychologist on 07/08/2019 10:49 Generated 07/08/2019 10:49 by Miller. Elissa PhD/Chief Bureau of Prisons - NYM Page 1 of 1 EFTA00045702

Bureau of Prisons Psychology Services Risk of Sexual Abusiveness "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/08/2019 09:35 Provider: Schtessinger, K. PsyD/PhD Reg #: 76318-054 Unit Team: A&O Comments Risk of Sexual Abusiveness During the intake screening process, for Inmate Epstein, based on the documentation available at the time of the screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due to previous perpetration of sexual abuse in the community or in an institutional setting, as evidenced by the following objective criteria: ( ) Having a history of prior institutional violence or sexual abuse perpetration (X ) Having a history of prior sexual abuse perpetration in the community (X ) Having prior convictions of violent offenses As required by P5324.11, Sexually Abusive Behavior Prevention and Intervention, Inmate Epstein was seen by Psychology on today's date to assess his risk factors for sexual abusiveness. At the onset of this clinical contact, the inmate was informed about the BOP requirements regarding PREA. Inmate Epstein indicated he understands the institution's policy against engaging in sexual behavior. His risk factors for sexual abusiveness were assessed and include: ( ) History of prior sexual victimization in prison ( X ) History of prior prison sexual predation ( ) History of head injury with loss of consciousness ( ) History of childhood psychological, physical, sexual abuse ( ) Witnessed family violence ( ) Antisocial Personality Disorder traits of irritability/aggressiveness and recklessness ( ) Hypersexuality (defined by eight or more orgasms a week prior to prison) ( ) Hypermasculinity ( ) Other: Based on this clinical assessment, the inmate is considered to be at: (X ) Low Risk of Abusiveness at this facility (Note: Even though this inmate is judged to be at low risk of sexual abusiveness, an unforeseen change in risk factors may significantly alter his risk level.). Programming recommendations included sex offender treatment. Inmate Epstein declined programming recommendations.The inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology staff's recommendation that he not be housed in a cell with any inmates identified as at increased risk for sexual victimization. Psychology also recommends a greater level of supervision regarding his work and education assignments. Programming recommendations include XXXXX. Inmate =inmateLastName is agreeable to/ declined programming recommendations. ( ) High Risk of Abusiveness. It is recommended this inmate be housed in the Special Housing Unit in accordance with P5324.11 to "keep separate those inmates at high risk of being sexually victimized from those at high risk of being sexually abusive" until Correctional Services and Correctional Programs staff can assess his appropriateness for general population at this facility. This inmate should not be housed with any inmates judged to be at an increased risk for sexual victimization. Programming recommendations include XXXXX. Inmate =inmateLastName is agreeable to/ declined programming recommendations. Generated 07/08/2019 09:41 by Schlessinger. K. PsyD/PhD Bureau of Prisons - NYM Page 1 of 2 EFTA00045703

Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/08/2019 09:35 Provider: Schlessinger. K. PsyD.PhD Reg #: 76318-054 Unit Team: A&O Completed by Schlessinger, K. PsyD/PhD on 07/08/2019 09:41 Generated 07108/2019 09:41 by Schlessinger. K. PsyD:PhD Bureau of Prisons NYM Page 2 of 2 EFTA00045704

Bureau of Prisons Psychology Services Intake Screening **SENSITIVE BUT UNCLASSIFIED•• Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/08/2019 09:24 Provider: Schlessinger, K. PsyD/PhD Limits of Confidentiality Limits of confidentiality were reviewed with inmate EPSTEIN. He expressed an understanding of the limits of confidentiality and consented to be interviewed accordingly. Data Source(s) The following data sources were reviewed in conjunction with this Initial Intake Evaluation: Self-Report, SENTRY, Staff Observation. Inmate Epstein is a 66-year-old, Black male who was seen by Psychology Services due to newly arriving at MCC-NY. He denied a history of mental health treatment on his Psychology Services Intake Questionnaire. Mental Health History and Current Symptoms No history of mental health issues was noted. No history of prior mental health treatment was noted. No current mental health symptoms were noted. No suicidal ideation, attempts, or self-harm were noted. Substance Abuse No history of substance abuse was noted. No history of substance abuse treatment was noted. Sex Offenses No sexual offense convictions were noted. No history of sexual predation in a correctional setting was noted. Relevant Psychosocial History Noteworthy psychosocial issues: Other. Inmate Epstein is currently incarcerated for a Sex Trafficking. He stated he was previously incarcerated three months f or prostitution. Inmate Epstein stated he is single and does not have any children. He revealed he was living in New York. He stated he completed high school. He stated he was employed in banking work prior to his incarceration. Adjustment to Incarceration Adjustment to incarceration concerns were identified: Other. SEXUAL ABUSE HISTORY Inmate Epstein denied being the victim of physical or sexual abuse. He is currently charged with sex trafficking and has previously been charged with prostitution. He was informed of the programs offered by MCC-NY as well as the Bureau of Prisons. Additionally, he was informed of this institutions self-help program. Inmate Epstein reported he was not currently interested in any treatment programs. MENTAL STATUS: Inmate Epstein appeared calm, controlled, without signs of psychomotor agitation or retardation. He was fully cooperative, maintained good eye-contact, and related in an interpersonally appropriate manner with interviewer. Speech and thought processes were organized, coherent, logical, and goal-directed. Based on informal assessment during this interview, this inmate's cognitive functioning appeared within normal limits, as reflected by adequate long and short-term memory, good attention, and appropriate concentration during interview, as well as adequate receptive and expressive language skills. Inmate denied any current sleep disturbances and described his appetite as adequate. This inmate denied recent or present morbid thoughts, passive or active suicidal ideation, intent or plan and contracted for safety. This inmate's verbalizations were optimistic, future oriented, and without indications of helpless or hopeless thinking. Inmate Brown denied any familial history of suicide behaviors or attempts. This inmate was provided with supportive psychotherapy, and psycho-education to strengthen coping skills and facilitate adjustment to incarceration. Findings Care Level: CARE1-MH Generated 07/08/2019 09:30 by Schlessinger, K. PsyD/PhD Bureau of Prisons - NYM Page 1 of 2 EFTA00045705

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/08/2019 09:24 Provider: Schlessinger, K. PsyD/PhD Inmate EPSTEIN denied any history of mental health symptoms or treatment. He denied any current mental health symptoms. He does not meet criteria for any current psychological diagnosis. He meets criteria for Mental Health Care Code 1. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Recommendations The following psychological services are recommended: Other. Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He does not appear to be in distress at this time. He agreed to contact psychology if he feels he needs psychology services in the future. He meets criteria for CC1 and does not require scheduled follow up at this time. Completed by Schlessinger, K. PsyD/PhD on 07/08/2019 09:30 Generated 07/08/2019 09:30 by Schlessinger, K. PsyD/PhD Bureau of Prisons - NYM Page 2 of 2 EFTA00045706

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 DOB 01/20/1953 Sex M Facility MCC New York Order Unit E06-547U Provider Robert Beaudouin, MD Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/2019 14:46 LIS ID 188191004 CHEMISTRY Sodium Potassium Chloride CO2 BUN Creatinine 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 mUmin/1.73 m^2. If African American multiply by 1.210. A calculated GFR <60 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 g/dL Alb/Glob Ratio 1.50 1.00-2.30 Anion Gap 10.2 9.0.19.0 BUN/Creat Ratio 16.1 5.0.30.0 Cholesterol H 216 <200 mg/dL Triglycerides H 413 10.150 mg/dL Calculation of LDL is not appropriate for samples with a triglyceride greater than 400 mg/dL. Therefore the LDL is not calculated. HDL Cholesterol L 31 40.60 mg/dL Chol/HDL Ratio H 6.9 0.0.4.0 HEMATOLOGY WBC 7.6 4.3-11.1 K/uL 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 MCV 88.2 82.5-96.5 fL MCH 28.8 27.1-34.9 Pg MCHC L 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 Platelet 338 130-374 K/uL FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 1 of 3 EFTA00045707

Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 a' Sensitive But Unclassified*** Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M Facility MCC New York Order Unit E06-547U Provider Robert Beaudouin, MD Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/2019 14:46 LIS ID 188191004 HEMATOLOGY MPV Neutrophils Therapeutic decision making should be based on absolute values, rather than percentages Lymphocytes °A) Monocytes Eosinophils % Basophils Immature Granulocytes % Neutrophils # Lymphocytes # Monocytes # Eosinophils # Basophils # Immature Granulocytes # 10.4 58.7 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 fL K/uL K/uL K/uL K/uL K/uL 10^3/uL HEMOGLOBIN A1C Hemoglobin A1C 5.7 - 6.4 Increased Risk > 6.4 Diabetes H 6.3 <5.7 SEROLOGY RPR Non-Reactive Results may be affected in patients with severely advanced immunosuppression. Non-Reactive FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 2 of 3 EFTA00045708

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 DOB 01/20/1953 Sex M Facility MCC New York Order Unit E06-547U Provider Robert Beaudouin, MD Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/2019 14:46 LIS ID 188191004 HIV HIV 1/2 Negative Screening test • See confirmatory testing for Reactive results Negative FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 3 of 3 EFTA00045709

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Facility: NYM Cosigned by Beaudouin. Robert MD on 0714:2019 18:12. Bureau of Prisons - NYM EFTA00045710

BP-S358.060 SLP 05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 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: 66 YR OLD MALE WITH NO PIVIHX , REFERRED FOR ROUITNE CXR. The following treatment(s) was/were 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 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 Counseled by Date Patien Signature Signature of Witness Date NYM-NEW YORK MCC Date EFTA00045711

Medical Records request Tor Inmate Jeffrey Epstein, Reg. No. 76318-054 07/06/19 - 08/28/19 From Joy Aassiddaa To Adam Johnson, Stephanie Scannell Date 2019/08/23 15:18 Subject: Medical Records request for Inmate Jeffrey Epstein, Reg. No. 76318- 054 07/06/19 - 08/28/19 Attachments: TEXT.htm, PrintChartGetReportfaces.pdf Please see attached. Thank You!! Joy Aossiddoo, Legal Assistant CLC New York Metropolitan Correctional Center 150 Park Row New York, NY 10007 (P) 646-836-6458 (F) 646-836-7665 Page 16201 EFTA00045712

Properties Property Value MessagelD 5D6003B6.NYMDOMLNYMADM1.100.1373875.1.7 B327.1 Message Path xmVMaiborJ5D600386,NYMDOM I.NYMADM MOO .1373875.1.7B327.1.xml From Joy Aassiddaa Dis pia) Name Joy Aassiddaa Email jalissildail@b01189v U CI D 263DFECO-05FA-0000-B8E9-E3DDF99F0ABB Reply To [email protected] Text Joy Aassiddaa To Adam Johnson: Stephanie Scannell Subject Medical Records request for Inmate Jeffrey Epsteis. Reg. No. 76318-054 0106119 - 08028119 Scheduled date 2019-08-23 15:18:14 Creation date 2019-08-23 15AB:14 Modified date 2019-08-23 1522.04 Delivered date 2019-08-23 1518:15 Message sire 177 Attachments size 475532 Total size 475720 Attachments 2 Attachment TEXT.htm Name TEXT.htm Content ID 5D6003B6.NYMDOMI.NYMADM1.200.200000F.I.I 06019.1()453D6003B6.NYMDOMI.NYMADM1.100. 1373875.1.78327.1@1:7.NYMDOMI.NYMADM1.1000.1.0.1@16 Is Inline fake brie file Size 631 Date 2019-08-23 11:1808 CA ab66443184887e997bla107362114960 DM h 50057100CCA7E672DEDF090Al MDAOMBE247904 23114A369791AABC2B4B98226F23C006 Attachment PritChartGetReport.faces.pdf Name PrintelunGetReportlaces.pdf Content ID 5D6003B&NYMDOMI.NYMADM1.200.2W000F.1.1 [email protected]. 100. [email protected]@16 Is Inline fake Type lie Sire 474901 Date 2019-08-23 11:1637 CA fecae24286cc84d0c61a166142f08k6 Hash 403658998A78F99F9CC3E20713COBBOCOA6D4DF5D D7BEE300A98A9411A739D59A3689B81B Recipients 2 Recipient Adam Johnson Display Name Adam Johnson Email a Ifijohnsoktfibop.gor COD 2750CADO-09CA-0000-A8F4-1ACF3lEA7575 Distribution Type TO Recipient "fype User Recipient Stephanie Scannell Display Name Stephanie Scannell Email sscannelka,bup.gov CUM I5A65E10-0C33-0000•A3E7-68A606415CAD Distribution Type TO Recipient Type User Expire 0 Delay deli ery until 0 Delegated fake Archived fake Read trot Deleted fake Opened INC Completed fake Security Normal Box type Inbax Return notification alien opened fake Return notification ..hen deleted fake Page 16202 EFTA00045713

Return notification "hen completed fake Return notification when declined false Return notification "hen accepted false Archive Version 5.3 Internal ID 5D6003B6.NYMDOM I.NYMADM 1.100.1373875.1.7 B327.1@1:7.NYMDOMLNYMADM1.100.0.1.0.1@1 6 Source received Class Public Account Adam JohreienftfiB0P18939.NYMADMINYMDOMI Location ID 1540842683886 Class Name OW.MESSAGF-MA1L Enclosing Folders 1 Folder Meta ID 7.NYNIDOMLNYMADM1.100.0.1.0.1@l6 Name Math). Type Main System true Share Type NotShared Page 16203 EFTA00045714

Audits Date Action Auditor Note 2019-08-30203703 EDT Created cn=Archive Agent_I-Daly Archive3 Job.cn-lebs.cn-GWOpenNode.cn-archiving.oMgent_1-Daily ietmai Geirrated by Netrreh Inc. [cn=Archive Archive3 Johen-Jobs4n-GWOpenNoie.cn-archivingo -netinail] 2020-05-1915:1706 EDT Tag BOP01703.MXRADMI.NIXRDOMI Responsive 2020-05-1915:1803 EDT Tag BOP01703.MXRADMI.NI XR DOM I Responsive 2020.0549 152.839 EDT Tag Et0P01703.MXRADMI.A1 XR I X7M I Responsive 202005.19152931 EDT Tag 801701703.MXRADMI.NIXRDOMI Responsive 202005.19143434 EDT Tag BOP01703.MXRADMI.AIXRDOMI Flagged Page 16204 EFTA00045715

Mail Attachment PrintChartGetReport.faces.pdf Page 16205 EFTA00045716

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: Columbo, Joseph RN Unit: Z04 Emergency Code - Resuscitation Event encounter performed at Special Housing Unit. SUBJECTIVE: Emergency Note Provider: Team Members: Provider Columbo, Joseph RN 89.1.2 Team/Code Leader Columbo, Joseph RN Code Events: Type Value Date CPR Compressions 08/10/2019 06:35 EKG/Monitor Lifepak 08/10/2019 06:39 No shock advised CPR Compressions 08/10/2019 06:40 Oxygen 15 L 08/10/2019 06:47 IV Access Peripheral IV 08/10/2019 06:48 18 g Left AC Airway Endotracheal Tube ET Tube 7.5 24CM to L Lip line Placed by Paramedics 08/10/2019 07:08 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 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 1mg IV 08/10/2019 07:13 CPR Compressions 08/10/2019 07:14 Medications Sodium Bicarbonate 1 mEa/kg IV 08/10/2019 07:14 Medications Epinephrine 1mg IV 08/10/2019 07:16 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, 02 15 Lt ViA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Placed on cardiac monitor asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, 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 Columbo, Joseph RN Bureau of Prisons - NYM Page 1 of 2 EFTA00045717

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: Columbo, Joseph RN Unit: Z04 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Consultation/Procedure Target Date Scheduled Target Date Priority Translator Language 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 Telephone/Verbal 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. Generated 08/10/2019 08:10 by Columbo, Joseph RN Bureau of Prisons - NYM Page 2 of 2 EFTA00045718

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 08/10/2019 07:25 Provider: Columbo, Joseph RN Facility: NYM Cosigned by Beaudouin. Robert MD on 08 12 2019 08:09. Bureau of Prisons - NYM EFTA00045719

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 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: Beaudouin, 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 AHS 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. I 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 Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely III Nutrition No: Appears Obese Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic Generated 07'3012019 16:12 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 1 of 2 EFTA00045720

Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 15:58 Sex: M Race: WHITE Provider: Beaudouin, Robert MD Reg #: 76318-054 Facility: NYM Unit: Z01 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, 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: Ettl Medication INsulin REG - Human Indication: Prediabetes Discontinued Medication Orders: Siff Medication 122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj Order Date 07/30/2019 15:58 Order Date 07/30/2019 15:58 Discontinue Type: When Pharmacy Processes Discontinue Reason:new order written Indication: Copay Required:No Telephone/Verbal Order: No Completed by Beaudouin, Robert MD on 07/30/2019 16:12 Cosign Required: No Prescriber Order SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Prescriber Order Inject regular insulin subcutaneously per sliding scale: twice daily "pill linen* for 7 days Generated 07/30/2019 16:12 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 2 of 2 EFTA00045721

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY 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: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, Robert MD Chief Complaint: Other Problem Subjective: PATIENT PATIE ALS STAT HE DEN SPEAKING HE REPORT HE REPORTS TOPROL. HE AHS A HX OF SLEEP ISNCE HE HASB EEN INFORME DHIM THAT WE HIM TONIGHT.. HE REPORT OTHER NON-ME STATES HE FEELS OTHERWISE Pain: Not Applicable REFERRED BY THE WARDEN FOR EVALUATION. RTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE S NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY OWING. IA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. NEY STONES, HX OF HTN FOR WHICH HE WAS TAKING AND STATED HE HAS NOT SLEPT FOR 3 WEEKS E HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I HIS CPAP MACHINE AND IT WILL BE GIVEN TO ES. Seen for clinic(s): Endocrine/Lipid, Orthopedic.JRheumatologyC Respiratory IP O OBJECTIVE: Pulse: Date Time 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: Date Time 07/30/2019 09:30 NYM Blood Pressure: 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: Date Ilene Value(%) Air 07/30/2019 09:30 NYM 98 Room Air Weight: Date lime Lba Kg Waist Circum Provider Rate Per Minute Provider 12 Beaudouin, Robert MD 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 Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 1 of 3 EFTA00045722

Inmate Name: EPSTEIN, JEFFREY 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 Date Time 07/30/2019 09:30 NYM 194.2 88.1 Beaudouin, Robert MD Lae Kg 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, Unk cutely III Nutrition No: Appears O Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR 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, 87303 - Current Sleep apnea, G4730 - Current 1 and S2 PLAN: New Medication Orders: 13x# Medication Order Date Prescriber Order Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 2 of 3 EFTA00045723

Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 11:12 Provider: Beaudouin, Robert MD Reg St: 76318-054 Facility: NYM Unit: Z01 New Medication Orders: 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: Renew Medication Orders: Eixf Medication 121836-NYM methylP Pack) Indication: New Laboratory Requests: Details Frequency Lab Tests Short List-General-CBC w cliff Sne Time Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensiv Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic New 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 NU PLEASE PERFORM C SPINE SERIES Prediabetes Disposition: Follow-up at Sick Call as Needed ne 4 MG Tab ( 21 count Order Date 07/30/2019 11:12 a and neuritis, unspecified Frequency One Time Patient Education Topics: Date Initiated Format Handout/Topic 07/30/2019 Counseling Access to Care 07/30/2019 Counseling Copay Required:No Telephone/Verbal Order: No Completed by Beaudouin, Robert MD on 07/30/2019 14:05 Plan of Care Cosign Required: No 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) Due Date 08/01/2019 00:00 Due Date 08/29/2019 Priority Routine Priority Routine R 2-3 MINUTES 3 DAYS AGO. i t Beaudo Robert Outcome Verbalizes Understanding Beaudouin, Robert Verbalizes Understanding Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 3 of 3 EFTA00045724

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY 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: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, Robert MD Chief Complaint: Other Problem Subjective: PATIENT PATIE ALS STAT HE DEN SPEAKING HE REPORT HE REPORTS TOPROL. HE AHS A HX OF SLEEP ISNCE HE HASB EEN INFORME DHIM THAT WE HIM TONIGHT.. HE REPORT OTHER NON-ME STATES HE FEELS OTHERWISE Pain: Not Applicable REFERRED BY THE WARDEN FOR EVALUATION. RTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE S NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY OWING. IA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. NEY STONES, HX OF HTN FOR WHICH HE WAS TAKING AND STATED HE HAS NOT SLEPT FOR 3 WEEKS E HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I HIS CPAP MACHINE AND IT WILL BE GIVEN TO ES. Seen for clinic(s): Endocrine/Lipid, Orthopedic.JRheumatologyC Respiratory IP O OBJECTIVE: Pulse: Date Time 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: Date Time 07/30/2019 09:30 NYM Blood Pressure: 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: Date Ilene Value(%) Air 07/30/2019 09:30 NYM 98 Room Air Weight: Date lime Lba Kg Waist Circum Provider Rate Per Minute Provider 12 Beaudouin, Robert MD 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 Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 1 of 3 EFTA00045725

Inmate Name: EPSTEIN, JEFFREY 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 Date Time 07/30/2019 09:30 NYM 194.2 88.1 Beaudouin, Robert MD Lae Kg 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, Unk cutely III Nutrition No: Appears O Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR 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, 87303 - Current Sleep apnea, G4730 - Current 1 and S2 PLAN: New Medication Orders: 13x# Medication Order Date Prescriber Order Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 2 of 3 EFTA00045726

Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 11:12 Provider: Beaudouin, Robert MD Reg St: 76318-054 Facility: NYM Unit: Z01 New Medication Orders: 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: Renew Medication Orders: Eixf Medication 121836-NYM methylP Pack) Indication: New Laboratory Requests: Details Frequency Lab Tests Short List-General-CBC w cliff Sne Time Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensiv Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic New 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 NU PLEASE PERFORM C SPINE SERIES Prediabetes Disposition: Follow-up at Sick Call as Needed ne 4 MG Tab ( 21 count Order Date 07/30/2019 11:12 a and neuritis, unspecified Frequency One Time Patient Education Topics: Date Initiated Format Handout/Topic 07/30/2019 Counseling Access to Care 07/30/2019 Counseling Copay Required:No Telephone/Verbal Order: No Completed by Beaudouin, Robert MD on 07/30/2019 14:05 Plan of Care Cosign Required: No 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) Due Date 08/01/2019 00:00 Due Date 08/29/2019 Priority Routine Priority Routine R 2-3 MINUTES 3 DAYS AGO. i t Beaudo Robert Outcome Verbalizes Understanding Beaudouin, Robert Verbalizes Understanding Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 3 of 3 EFTA00045727

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 15:58 Facility: NYM Amendment made to this note by Beaudouin, Robert MD on 07'302019 16:12. Bureau of Prisons - NYM EFTA00045728

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 20:25 Provider: Columbo, Joseph RN Unit: H01 Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Columbo, Joseph RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: Inmate seen for F/U after returning from attorney conference offers no new complaints or worsening S/S stats My R hand still has pins and needles sometimes" No change in appearance from previous exam. Pain: No OBJECTIVE: Pulse: Date lime Rate Per Minute Location Rhythm Provider 07/28/2019 20:28 81 Columbo, Joseph RN Respirations: Date Time Rate Per Minute Provider 07/28/2019 20:28 NYM 14 Columbo, Joseph RN Blood Pressure: Date lime Value Location Position Cuff Size Provider 07/28/2019 20:28 NYM 157/91 Columbo, Joseph RN SaO2: Date Time Value(%) ALE Provider 07/28/2019 20:28 NYM 98 Columbo, Joseph RN Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Nutrition Yes: Within Normal Limits Skin General Yes: Within Normal Limits, Dry, Skin Intact ASSESSMENT: No Significant Findings/No Apparent Distress PLAN: Disposition: To be Evaluated by Provider Generated 07/28/2019 20:30 by Columbo, Joseph RN Bureau of Prisons - NYM Page 1 of 2 EFTA00045729

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 20:25 Provider: Columbo, Joseph RN Unit: H01 Follow-up in 12-24 Hours Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/28/2019 Counseling Plan of Care Columbo, Joseph Verbalizes Understanding Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by Columbo, Joseph RN on 07/28/2019 20:30 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/28/2019 20:30 by Columbo, Joseph RN Bureau of Prisons - NYM Page 2 of 2 EFTA00045730

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/28/2019 20:25 Provider: Columbo, Joseph RN Facility: NYM Cosigned by Beaudouin. Robert MD on 07 28x2019 20:50. Bureau of Prisons - NYM EFTA00045731

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: Columbo, Joseph RN Unit: H01 Nursing - Triage Note encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Columbo, Joseph RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: " I woke up and I had no control over my Right arm for a few minutes it was just doing what it wanted to do" Pain: No OBJECTIVE: Pulse: Dale Time Rate Per Minute Location Rhythm Provider 07/28/2019 06:57 82 Columbo, Joseph RN Respirations: Date Time Rate Per Minute Provider 07/28/2019 06:57 NYM 14 Columbo, Joseph RN Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/28/2019 06:57 NYM 138/80 Columbo, Joseph RN SaO2: Date Time Valuer/O1 Alt Provider 07/28/2019 06:57 NYM 98 Columbo, Joseph RN Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Skin General Yes: Within Normal Limits, Dry, Skin Intact Head General Yes: Symmetry of Motor Function, Atraumatic/Normocephalic No: Facial Asymmetry, Battle's Sign, Raccoon Eyes, Deformity Eyes General Yes: PERRLA, Extraocular Movements Intact Face General Yes: Symmetric Generated 07/2812019 07:22 by Columbo, Joseph RN Bureau of Prisons - NYM Page 1 of 3 EFTA00045732

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: Columbo, Joseph RN Unit: H01 Exam: No: Ecchymosis, Numbness, Swelling, Periorbital Edema Neck General Yes: Abrasion(s) Pulmonary Observation/Inspection Yes: Within Normal Limits No: Respiratory Distress, Tachypnea, Hyperventilation Cardiovascular Observation Yes: Normal Rate Musculoskeletal Shoulder Yes: Full Range of Motion R, Symmetric R No: Swelling R, Inflammation R Humerus Yes: Within Normal Limits R Elbow Yes: Normal Exam R, Full Range of Motion R, Non-Tender on Palpation R Radius / Ulna Yes: Normal Exam R, Full Range of Motion R WrisVHand/Finders Yes: Full Range of Motion R, Non-Tender on Palpation R, Swelling R No: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(s) R, Contusion(s) R ROS Comments Received inmate AAOX3 in no acute distress, speaking in full sentenced ambulating independently CIO Right arm numbness after waking up from "sleeping on my side" that has since subsided. inmate interviewed in psyc obs through the slot. V/S noted WNL, RR even and unlabored, no neurological deficits noted, no facial droop slurred speech or dysphagia, Inmate with Full ROM to all extremities with 4/4 strength bilaterally, slight swelling noted to right phalanges when compared to left, no edema, erythema or ecchymosis noted. Denies any pain numbness or tingling at this time. Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes PERRLA. MD on Call notified, Re-evaluate this evening or sooner if S/S persist. ASSESSMENT: Alteration in comfort PLAN: Disposition: Follow-up at Sick Call as Needed Notify Medical Duty Officer Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/28/2019 Counseling Plan of Care Columbo. Joseph Verbalizes Understanding Generated 07/28/2019 07:22 by Columbo, Joseph RN Bureau of Prisons - NYM Page 2 of 3 EFTA00045733

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: Columbo, Joseph RN Unit: H01 Date Initiated Format Handout/Topic Provider Outcome Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Completed by Columbo, Joseph RN on 07/28/2019 07:22 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/28/2019 07:22 by Columbo, Joseph RN Bureau of Prisons - NYM Page 3 of 3 EFTA00045734

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/28/2019 06:51 Provider: Columb0, Joseph RN Facility: NYM Cosigned by Beaudouin. Robert MD on 07.28.2019 20:51. Bureau of Prisons - NYM EFTA00045735

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/26/2019 08:57 Provider: Beaudouin, Robert MD Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: Beaudouin, Robert MD THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. New Medication Orders: &it Medication Order Date Prescriber Order Docusate Sodium Capsule 07/26/2019 08:57 TAKE ONE 100 MG CAP Orally - Two Times a Day x 180 day(s) Indication: Constipation, unspecified Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by Beaudouin, Robert MD on 07/26/2019 08:58 Generated 07/26/2019 08:58 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00045736

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/24/2019 16:10 Provider: Beaudouin, Robert MD Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: Beaudouin, Robert MD THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Copay Required:No TelephoneNerbal Order: No Completed by Beaudouin, Robe Cosign Required: No 0 24/2019 16:12 Generated 07/24/2019 16:12 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00045737

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/24/2019 16:10 Provider: Beaudouin, Robert MD Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: Beaudouin, Robert MD THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Copay Required:No TelephoneNerbal Order: No Completed by Beaudouin, Robe Cosign Required: No 0 24/2019 16:12 Generated 07/24/2019 16:12 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00045738

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/26/2019 08:57 Facility: NYM Amendment made to this note by Beaudouin, Robert MD on 07 26 2019 08:58. Bureau of Prisons - NYM EFTA00045739

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/24/2019 15:10 Provider: Beaudouin, Robert MD Unit: H01 Admin Note - General Administrative Note encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: Beaudouin, Robert MD PATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALUATION. HE REFUSED. REFUSAL FORM SIGNED. Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by Beaudouin, Robert MD on 07/24/2019 15:17 Generated 07/24/2019 15:17 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00045740

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/24/2019 13:08 Provider: Joaquin, Y. MLP Unit: H0I Mid Level Provider - Follow up Visit encounter performed at Receiving & Discharge. SUBJECTIVE: COMPLAINT 1 Provider: Joaquin, Y. MLP Chief Complaint: Other Problem Subjective: I still do not want to talk about. But, between you and me. I think my room mate had to do with what happened to me. Do not ask me. I am not going to say anything. Pain: No OBJECTIVE: Temperature: Date Time Fahrenheit Celsius Location Provider 07/24/2019 13:12 NYM 97.8 36.6 Oral Joaquin, Y. MLP Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/24/2019 13:12 83 Via Machine Regular Joaquin, Y. MLP Blood Pressure: Date Time Melee Location Position Cuff Size Provider 07/24/2019 13:12 NYM 132/89 Right Arm Sitting Adult-regular Joaquin, Y. MLP SaO2: Date Time Value(%) Ak Provider 07/24/2019 13:12 NYM 96 Room Air Joaquin, Y. MLP Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Appears in Pain Exam Comments Follow up evaluation done for inmate Epstein. He does not look in any pain or distress. He still has the erythema around his neck. Central part of this erythema has some abrasion. Patient does not complaint of any respiratory problem or distress. He still does not want to explain how the skin injury on his neck happed. he insinuates that injuries on his neck have to do with his room mate. But does not want to talk about it. ASSESSMENT: Injury, unspecified, T1490 - Current PLAN: Disposition: Generated 07/24/2019 13:24 by Joaquin, Y. MLP Bureau of Prisons - NYM Page 1 of 2 EFTA00045741

Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Encounter Date: 07/24/2019 13:08 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Joaquin, Y. MLP Unit: H01 Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/24/2019 Counseling Access to Care Joaquin, Y. Verbalizes Understanding 07/24/2019 Counseling Preventive Health Joaquin, Y. Verbalizes Understanding Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by Joaquin, Y. MLP on 07/24/2019 13:24 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/24/2019 13:24 by Joaquin, Y. MLP Bureau of Prisons - NYM Page 2 of 2 EFTA00045742

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/24/2019 13:08 Provider: Joaquin, Y. MLP Facility: NYM Cosigned with New Encounter Note by Beaudouin, Robert MD on 07 .24.2019 16:10. Bureau of Prisons - NYM EFTA00045743

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: Joaquin, Y. MLP Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: Joaquin, Y. MLP Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25 Work Related: No Work Assignment: UNASSG Pain Location: Pain Scale: 0 Pain Qualities: Where Did Injury Happen (Be specific as to location): Special Housing Unit Z05-Cell 124 L Cause of Injury (Inmate's Statement of how injury occurred): "I do not know. Just went to drink a little water and wake up snorting". Symptoms (as reported by inmate): None OBJECTIVE: Temperature: Date Time Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 97.5 36.4 Oral Joaquin, Y. MLP Pulse: pate Time Rate Per Minute Location Rhythm Provider 07/23/2019 06:30 92 Via Machine Regular Joaquin, Y. MLP Respirations: Date lime Rate Per Minute Provider 07/23/2019 06:30 NYM 16 Joaquin, Y. MLP Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular Joaquin, Y. MLP SaO2: Date Time Value(%) Air Provider 07/23/2019 06:30 NYM 96 Room Air Joaquin, Y. MLP Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, Generated 07/2312019 09:05 by Joaquin, Y. MLP Bureau of Prisons - NYM Page 1 of 2 EFTA00045744

Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Encounter Date: 07/23/2019 06:20 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Joaquin, Y. MLP Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing Exam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not apparent distress, smiling during this clinical encounter. Alleges, that he does not know what happened. Can not explain the marks on his neck. Responded: "I don't know". He does not want to talk of the events leading to the marks on his neck. He does not look in any distress or pain. Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas, no lacerations, no tenderness. Patient moving his neck without any restriction. Denies having any pain or discomfort. Denies any respiratory problem. Has another small erythema on left knee about 2cm in diameter(mild). As per information from custody staff inmate Epstein was found in his cell with a rope around his neck and sitting on the floor. Inmate is currently placed on suicide watch. ASSESSMENT: Injury, unspecified, T1490 - Current - RIO self inflicted injuries. PLAN: Disposition: Follow-up at Sick Call as Needed Placed on Suicide Watch Follow-up in 2-4 Hours Other: For follow up with psychology service. Patient Education Topics: Date Initiated Format Flandout/Topic Provider Outcome 07/23/2019 Counseling Access to Care Joaquin, Y. Verbalizes Understanding 07/23/2019 Counseling Plan of Care Joaquin, Y. Verbalizes Understanding Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Completed by Joaquin, Y. MLP on 07/23/2019 09:05 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/23/2019 09:05 by Joaquin, Y. MLP Bureau of Prisons - NYM Page 2 of 2 EFTA00045745

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/23/2019 06:20 Provider: Joaquin, Y. MLP Facility: NYM Cosigned by Beaudouin. Robert MD on 07 23x2019 15:44. Bureau of Prisons - NYM EFTA00045746

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY 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 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 OLD WHITE MALE WITH HX OF HYPERTRIGLYCERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , NOW 431. STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS DUE TO THEIR GI SIDE EFFECTS. HX OF OBSTRUCTUVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. STATES HE HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES THE FBI LOKELY HAS L4 - L5 SEVERE STENOSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH HX: NONE 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: MEDROL DOSE PACK Reason Not Done: Comments: Seen for clinic(s): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid Added to clinic(s): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid 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 07/14/2019 18:11 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 1 of 3 EFTA00045747

Inmate Name: EPSTEIN, JEFFREY 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: Z0S Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/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: EXtf Medication Omega 3 ( Vascepa) 1 GM Capsule Order Date 07/14/2019 17:36 Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Frequency Lab Tests-H-Hemoglobin A1C One Time Lab Tests-L-Lipid Profile Additional Information: Generated 07/14/2019 18:11 by Beaudouin, Robert MD Prescriber Order TAKE 2 CAPS Orally - Two Times a Day x 180 day(s) -- TAKE WITH FOOD. Due Date Priority 10/10/2019 00:00 Routine Bureau of Prisons - NYM Page 2 of 3 EFTA00045748

Inmate Name: EPSTEIN, JEFFREY 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 FASTING. Lab Tests-H-Hep B surface Ab One Time 08/08/2019 00:00 Routine Lab Tests-H-Hep B surface Ag Lab Tests-H-Hep C Ab Lab Tests-H-Hepatic Profile Schedule: Activity Date Scheduled Scheduled Provider Clinical Encounter 07/24/2019 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: PENDING EKG AND FOBT. CXR WAS REFUSED. Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/14/2019 Counseling Diagnosis Beaudouin, Robert Verbalizes Understanding Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed by Beaudouin, Robert MD on 07/14/2019 18:11 Generated 07/14/2019 18:11 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 3 of 3 EFTA00045749

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY 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 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 O HITE MALE WITH HX OF HYPER CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MED • EIR GI SIDE EFFECTS. HX OF IL UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE iSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM 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: MEDROL DOSE PACK Reason Not Done: Comments: 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 MD Bureau of Prisons - NYM Page 1 of 3 EFTA00045750

Inmate Name: EPSTEIN, JEFFREY 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 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 Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Crania O l Nerves (CN) Yes: Within Normal Limits Motor System-General ASSESSMENT: Constipation, unspecified, K5900 - Current 05 1 ) )60 Yes: Normal Exam Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current d ), Sleep apnea, G4730 - Current PLAN: New Medication Orders: EXtt Medication Order Date Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 30 CC Orally - Two Times a Day PRN x 2 day(s) Indication: Constipation, unspecified MethyIPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 AS DIRECTED Orally - daily x Pack 21 tab) 6 day(s) Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 2 of 3 EFTA00045751

Inmate Name: EPSTEIN, JEFFREY 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/Topic Provider Outcome 07/12/2019 Counseling Diagnosis Beaudouin, Robert Verbalizes Understanding Copay Required: No Telephone/Verbal Order: Completed by Beaudouin, Cosign Required: No 07/12/2019 14:20 0 Generated 07/12/2019 14:20 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 3 of 3 EFTA00045752

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY 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 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 O HITE MALE WITH HX OF HYPER CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MED • EIR GI SIDE EFFECTS. HX OF IL UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE iSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM 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: MEDROL DOSE PACK Reason Not Done: Comments: 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 MD Bureau of Prisons - NYM Page 1 of 3 EFTA00045753

Inmate Name: EPSTEIN, JEFFREY 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 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 Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Crania O l Nerves (CN) Yes: Within Normal Limits Motor System-General ASSESSMENT: Constipation, unspecified, K5900 - Current 05 1 ) )60 Yes: Normal Exam Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current d ), Sleep apnea, G4730 - Current PLAN: New Medication Orders: EXtt Medication Order Date Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 30 CC Orally - Two Times a Day PRN x 2 day(s) Indication: Constipation, unspecified MethyIPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 AS DIRECTED Orally - daily x Pack 21 tab) 6 day(s) Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 2 of 3 EFTA00045754

Inmate Name: EPSTEIN, JEFFREY 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/Topic Provider Outcome 07/12/2019 Counseling Diagnosis Beaudouin, Robert Verbalizes Understanding Copay Required: No Telephone/Verbal Order: Completed by Beaudouin, Cosign Required: No 07/12/2019 14:20 0 Generated 07/12/2019 14:20 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 3 of 3 EFTA00045755

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/14/2019 17:36 Facility: NYM Amendment made to this note by Beaudouin, Robert MD on 07 14 2019 18:11. Bureau of Prisons - NYM EFTA00045756

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: Note Date: EPSTEIN, JEFFREY 01/20/1953 07/12/2019 09:06 Reg #: Sex: M Race:WHITE Facility: Provider: Beaudouin, Robert MD Unit: 76318-054 NYM Z05 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: I3x# Medication Docusate Sodium Capsule Indication: Constipation, unspecified Discontinued Medication Orders: Eta Medication 121757-NYM Bisacodyl E.C. 5 MG TAB Order Date 07/12/2019 09:06 Order Date 07/12/2019 09:06 Discontinue Type: When Pharmacy Processes Discontinue Reason:discontinue Indication: Copay Required:No TelephoneNerbal Order: No Completed by Beaudouin. Robert MD on 07/12/2019 09:10 Cosign Required: No Prescriber Order TAKE ONE 100 MG CAP Orally - Two Times a Day x 30 day(s) Prescriber Order Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days Generated 07/12/2019 09:10 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00045757

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY 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: E06 Cosign Note - Intake Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: MED CL:1 NO CCC APPT. Discontinued Laboratory Requests: Details Beaudouin, Robert MD Frequency Due Date Priority Lab Tests-H-Hemoglobin AlC One Time 08/05/2019 00:00 Routine Lab Tests-C-CBC w/diff Lab Tests-L-Lipid Profile Lab Tests-C-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Rellex to Microscopic Additional Information: 66 y/o male, elevated BP Labs requested to be reviewed by: Beaudouin, Robert MD New Laboratory Requests: Details Frequency Due Date Priority Chronic Care Clinics-Diabetic-CBC w/diff One Time 07/25/2019 00:00 Routine Chronic Care Clinics-Diabetic-Lipid Profile Chronic Care Clinics-Diabetic-Hemoglobin Al C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Details Frequency End Date Due Date Priority General Radiology-Chest-2 Views One Time 07/25/2019 Routine 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 Generated 07107/2019 00:30 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00045758

Bureau of Prisons Health Services Health Screen Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: Kang, Yoon PA-C Facility: NYM Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied Allergies: Denied PPD Administration: Date/Time: 07/06/2019 21:39 Provider: Kang, Yoon PA-C Location: Right Forearm Drug Mfg: Sanofi Pasteur Lot Number: C5474BA Dosage: 0.1mL Route: ID Exp Dt: 10/2020 Comments: Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss:No Fever: No Cough:No Comments: Generated 07/06/2019 21:56 by Kang. Yoon PA•C Bureau of Prisons - NYM Page 1 of 6 EFTA00045759

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: Kang, Yoon PA-C Facility: NYM 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 HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: N/A Genital Warts: No Chlamydia: 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 Generated 07/06/2019 21:56 by Kang. Yoon PA•C Bureau of Prisons - NYM Page 2 of 6 EFTA00045760

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: Kang, Yoon PA-C Facility: NYM 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 Hx 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: Dental Condition: Denied N/A Generated 07/06/2019 21:56 by Kong. Yoon PA•C Bureau of Prisons - NYM Page 3 of 6 EFTA00045761

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: Kang, Yoon PA-C Facility: NYM 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: Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/06/2019 21:43 90 Via Machine Kang, Yoon PA-C Respirations: Date Time Rate Per Minute Provider 07/06/2019 21:43 NYM 15 Kang, Yoon PA-C Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/06/2019 21:45 NYM 164/90 Right Arm Sitting Adult-regular Kang, Yoon PA-C 07/06/2019 21:43 NYM 155/83 Left Arm Sitting Adult-regular Kang, Yoon PA-C SaO2: Date 07/06/2019 lime 21:43 NYM Value(%) Air Provider 95 Room Air Kang, Yoon PA-C Height: Date lime Inches Cm Provider 07/06/2019 Weight: 21:43 NYM 72.0 182.9 Kang, Yoon PA-C Date Time Uzi Kg. Waist Cireums Provider 07/06/2019 21:43 NYM 200.0 90.7 Kang, Yoon PA-C Prosthetic Devices/Equipment: Denied Potential Items For Follow-up: Item Travel Outside US Other Infectious Disease History Comments: I have reviewed 0 pages of intake paperworks Generated 07/06/2019 21:56 by Kang. Yoon PA-C Bureau of Prisons - NYM Page 4 of 6 EFTA00045762

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: Kang, Yoon PA-C Facility: NYM Health Problems Newly Identified During This Encounter: Health Problem Medication Reconciliation. The patient's known medication list including OTC items was compiled and compared to new and changed BOP orders. Reconciled Medications: Source Action JyRe Bit Medication OTC No known OTCs Order Detali New Laboratory Requests: Details Frequency Due Date Priority Lab Tests-H-Hemoglobin Al C One Time 08/05/2019 00:00 Routine Lab Tests-C-CBC w/diff Lab Tests-L-Lipid Profile Lab Tests-C-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic Additional Information: 66 y/o male, elevated BP Labs requested to be reviewed by: Beaudouin, Robert MD New Non-Medication Orders: Order Frequency Duration Details Ordered By EKG One Time 66 y/o male Kang, Yoon PA-C Order Date: 07/06/2019 Fecal Occult Blood One Time 3 different stools Kang, Yoon PA-C Order Date: 07/06/2019 Schedule: Activity Date Scheduled Scheduled Provider Vision Screen 07/06/2019 00:00 Optometrist 66 y/o male PPD Reading 07/08/2019 00:00 Nurse Follow-up 07/09/2019 00:00 Mid-Level Provider BP check Other: BP noticed to be elevated. IM denies Hx of HTN or any significant chronic medical conditions. He is currently asymptomatic and denies any bodily complaints at this time. Will recheck BP in 2-3 days. Disposition: Follow-up at Sick Call as Needed To be Evaluated by Provider Instructed inmate how to obtain medical, dental, and mental health care. Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Generated 07/06/2019 21:56 by Kang. Yoon PA-C Bureau of Prisons - NYM Page 5 of 6 EFTA00045763

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: Kang, Yoon PA-C Facility: NYM Completed by Kang, Yoon PA-C on 07/06/2019 21:56 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/06/2019 21:56 by Kang. Yoon PA•C Bureau of Prisons - NYM Page 6 of 6 EFTA00045764

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/062019 21:38 Provider: Kang, Yoon PA-C Facility: NYM Cosigned with New Encounter Note by Beaudouin, Robert MD on 07 .07.2019 00:17. Bureau of Prisons - NYM EFTA00045765

Bureau of Prisons Health Services History & Physical Inmate Name: EPSTEIN, JEFFREY 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 Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied Allergies: Denied Tuberculosis: Fix 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): 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 Generated 07/09/2019 13:03 by Joaquin. Y. MLP Bureau of Prisons • NYM Page 1 of 13 EFTA00045766

Inmate Name: EPSTEIN. JEFFREY 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: H01 HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: N/A Genital Warts: No Chlamydia: 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 Generated 07,09,2019 13:03 by Joaquin. Y. MLP Bureau of Prisons NYM Page 2 of 13 EFTA00045767