Page 2448 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/12/2019 13:10 Provider: (b)<5>: (bl(7)<c > MD Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rat No: M/R/G Rhythm (RRR), Normal S1 and S2 Abdomen Auscultation Yes: Normo-Active Bnoo1:>~,-n,1n-.:1 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: Rx# Medication Magnesium Hydroxide Susp Indication: Constipation, unspecified MethylPREDNISolone Tab 4 MG ( Dose Pack 21 lab) Order Date 07/12/2019 13:10 07/12/2019 13: 10 Indication: Neuralgia and neuritis, unspecified Disposition: Generaled 07/12/2019 14:20 b~(b)(6); (b)(7)(C) Bureau of Prisons - NYM Reg #: 76318-054 Facility: NYM Unit: Z05 Prescriber Order 30 CC Orally - Two Times a Day PRN x 2 day(s) AS DIRECTED Orally - daily x 6 day(s) Page 2 or 3

Page 2449 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:10 Follow-up at Sick Call as Needed Other: Sex: M Race: WHITE Provider: b)C5); <b)(7)(C) MD WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Date Initiated Format 07/12/2019 Counseling Copay Required: No TelephoneNerbal Order: Completed by :b)(B); <blC7)<c> Generated 07/12/2019 14:20 b~(b)(6); (b)(?)(C) HandouUTopic Diagnosis Cosign Required: No Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: Z05 Provider Outcome Verbalizes Understanding Page 3 or 3

Page 2450 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/14/2019 17:36 Amendment made to this note b ~~(b_H6_>: (-bl(7_x_c> ___ _,~o on 07/14/201918:11 . Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM

Page 2451 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Note Date: 07/12/2019 09:06 Provider: Admin Note - Orders encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: j(b><5>; (b)(?)(C) IMD Reg#: MD Facility: Unit: 76318-054 NYM Z05 PATIENT REQUESTED TO HAVE A COLACE RX, INSTEAD OF TEH BISACODYL FOR CONSTIPATION. New Medication Orders: Rx# Medicatjon Docusate Sodium Capsule Indication: Constipation, unspecified Discontinued Medication Orders: Rx# 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 Cosign Required: No TelephoneNerbal Order: No Completed byllb)(5);(b)Cl)ICi IMD on 07/12/2019 09:10 Generated 07/12/2019 09:10 b ~(bH5>; (b)(7)(C) Bureau of Prisons - NYM 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 Page 1 of 1

Page 2452 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Note Date: 07/07/2019 00:17 Provider: Cosign Note - Intake Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 MED CL:1 NOCCCAPPT. Provider~(b)(G); <bl<7l(C> Discontinued Laboratory Requests: Details Lab Tests-H-Hemoglobin A 1C Lab Tests-C-CBC wldiff 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 Frequency One Time Labs requested to be reviewed by: r b)(G) (b)(7)(C) IMD New Laboratory Requests: '-------~ Details Chronic Care Clinics-Diabetic-CBC w/diff Chronic Care Clinics-Diabetic-Lipid Profile Chronic Care Clinics-Diabetic-Hemoglobin A 1 C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Frequency One Time Details Frequency End Date General Radiology-Chest-2 Views One Time Specific reason(s) for request (Complaints and findings): Reg#: D Facility: Unit: Due Date 08/05/2019 00:00 Due Pate 07/25/2019 00:00 Due Pate 07/25/2019 66 YR OLD MALE WITH NO PMHX . REFERRED FOR ROUITNE CXR. Copay Required: No TelephoneNerbal Order: No Cosign Required: No Completed b~ .... (b_>c5_l:_(bl_(7_>cc_> ___ _.IMD on 07/07/2019 00:30 Generated 0710712019 00:30 b ~(b)(G); (b)(7)(C) Bureau of Prisons - NYM 76318-054 NYM E06 Priority Routine Priority Routine Priority Routine Page 1 of 1

Page 2453 Bureau of Prisons Health Services History & Physical Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Seizures: Diabetes: Cardiovascular: CVA: Hypertension: Respiratory: Sickle Cell Anemia: Carcinoma/Lymphoma: Allergies: Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss: No Fever: No Cough:No Comments: Infectious Disease Risk Factors: IV Drug Use: No IV Drug Use Needles: Denied Denied Denied Denied Denied Denied Denied Denied Denied 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): o 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 Sex: M Race: WHITE Provider: 1'-bl(5l: (b:a J(C> ~ LP Traveled to Paris x 3 weeks up until arrest No tattoos Generated 07/09/2019 13:03 b b)(S); (b)(7)(C) LP Bureau of Prisons • NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 1 of 13

Page 2454 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: 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 M Race: WHITE (b)(6); (b)(7)(C) MLP Generated 07/09/2019 13:03 b b)i5): (b)(7)(C) MLP Bureau of Prisons • NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 2 of 13

Page 2455 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 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: NIA Dental Condition: Denied Sex: M Race: WHITE Provider: bK6)· (C)(7)(CI MLP Generated 07/09/201913:03 b (b)(S); (b)(T)(C) MLP Bureau or Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 3 of 13

Page 2456 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Observations: Draining Skin Lesions: No Signs of Lice: No Signs of Scabies: No Signs of Recent Trauma: No RecentTattoos: No Needle Marks: No Signs of Rash: No Open Sores: No Wounds: No Body Deformities: No Tremors: No Sweating: No Comments: Generated 07/09/2019 13:03 b b:{S) (b)(7)(C) MLP Sex: M Race: WHITE Provider: (bJ<6>; (bl<7>1C> LP Bureau of Prisons - NYM Reg#: Facility: Unit 76318-054 NYM H01 Page 4 of 13

Page 2457 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Sex: Provider: M Race: WHITE b)(6); (b)(7~C) MLP Facility: Unit: Immunizations: Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provlderrb}(6); (b)(7XC) ~ LP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Measles/Mumps/Rubella Series Administration: History Unknown, Not Administered Documented Date: 07/09/201912:51 EST Immunization Date: Provide (b)(Sl: (bl<7)(Cl Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: LP Smallpox Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: b><5> (b;(7xcJ MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Tetanus Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Generated 07/09/2019 13:03 b (b)(6); (b)(7XCl MLP Bureau of Prisons - NYM 76318-054 NYM H01 Page 5 of 13

Page 2458 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: t b)(6); (b)(7)(C) IMLP Immunization Date: Provider: b)(G); <b>(7 lCC> LP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Varicella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider (b)(G): (b)(7)CC> MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Temperature: ~ 07/09/2019 Pulse: Time 12:49 NYM Fahrenheit 97.3 Celsius Location 36.3 Oral Provjder ,b)(6); (b)(7)(C) Reg#: Facility: Unit: MLP Rhythm Provider 76318-054 NYM H01 Qm Time 07/09/2019 12:49 Rate Per Minute 82 Location Via Machine Regular (b)(5>; (b)(7)(C> MLP Respirations: ~ Time Rate Per Minute Provider 07/09/2019 12:49 NYM 16 b)(6); (b)(7)(C) MLP Blood Pressure: Cuff Size Provider ~ IiIM ~ 07/09/2019 12:49 NYM 117/66 Location Right Arm Position Sitting Adult-regular (b;cs>; l.bl(7XC> Sa02: Date 07/09/2019 Height: Time 12:49 NYM l2il1e ThM 07/09/2019 12:49 NYM Value(%) Air Provider 97 Room Air r xsJ; (b)(7)(C) I MLP Inches 70.0 .c.m Provider 177.8 b)(S): (b)(7)(C) MLP Generated 07/09/201913:03 by :b)(B); (b}(7)(C) MLP Bureau of Prisons - NYM MLP Page 6of 13

Page 2459 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: b)(6); (b;(7)(C) MLP Date I.irM. la~bH Weight: Date ~ l..bli 07/09/2019 12:49 NYM 194.4 Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA Patient Education Assessments: ~ ero~id~r Kg_ Waist Cir,Ym, erg~idtr 88.2 (b)(6); (b)(7)(C) MLP Reg#: Facility: Unit: 76318-054 NYM H01 Date Ed Yrs Occupation Learns Best By Primary Language Barriers to Education 07/09/2019 12 Banker Family History - Father: Age at Death: 74 Cause of Death: Diabetes complications Significant Illnesses: Diabetes Heart Disease Comments: Family History - Mother: Age at Death: 81 Cause of Death: Kidney Failure Significant Illnesses: Heart Disease Comments: Family History - Sibling: Number of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: Reason Acute Appendicitis Complications: None Comments: Head: Normal: Yes Comments: Generaled 07/09/2019 13:03 by ,b)(B); (b)(7)(C) MLP Speaking/Listening English None Locatioa Mount Sinai Hospital Bureau of Prisons - NYM Whea 1990 Page 7 of 13

Page 2460 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Eyes: EOMI: Yes lcterus:No Conjunctiva! Inflammation: No Pupils PERRLA: Yes Pupil Size Rt: Pupil Size Lt: Pupils Comments: Fundi Vessels Nicking: No Fundi Vessels Discs Flat:Yes Fundi Vessels Discs Sharp Margins: Yes Fundi Vessels Grounds Abnormal: No Eyes Comments: Vision Screen Blindness: 07/09/2019 12:52 Distance Vision: OD: 100 Near Vision: OD: Ishihara Color Test: Tonometry: L: OS: 70 OS: Reg#: Sex: M Race: WHITE Provider: (blC5>; (bl(7)(CJ MLP Facility: Unit: With Corrective OU: OD: OU: OD: OS OS: Comments: Needs evaluation with optometrist. Ears: Right Ear: Canal patent Left Ear: Canal patent Ears Comments: Nose: Nares Patent: Yes Septum Midline:Yes Septum Intact: Yes Drainage/Discharge: No Polyps: No Nose Comments: 'b)(6)· Generated 07/09/2019 13:03 by bl(7'.(Cl MLP Bureau of Prisons - NYM 76318-054 NYM H01 OU: OU: Page 8 of 13

Page 2461 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Mouth Lesions:No Oral/Buccal Mucosa:Yes Gums Normal: Yes Tonsils Present: Yes Tonsils Normal: Yes Pharynx: Normal Color Teeth Poor Dentition: No Teeth Count:Mostly Present Dentures: No Mouth Comments: Cranial Nerves: Intact II-XII: Yes Cranial Nerves Comments: Neck: Full ROM:Yes Masses/Nodes: No Trachea: Midline Thyroid: Normal Size Comments: Breasts: Normal:Yes Masses:No Tenderness:No Scars: No Dimpling:No Nipple Discharge: No Nipple Retraction: No Instructions for Self Breast Exam Given: No Comments: M Race: WHITE (bX6); (b)(7)(C) MLP Generated 07/09/2019 13:03 b~ bl(6); (b}(7)(C) I MLP Bureau of Prisons • NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page9or 13

Page 2462 Mail Attachment Epstein BEMR pt 4.pdf Page 14910

Page 2463 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Thorax: Contour Normal:Yes Increased AP Diameter: No Asymmetrical Expansion: No Lungs Clear: Yes Wheezes: No Crackles: No Rhonchi: No Rales: No Accessory Muscle Use: No Comments: Spine: Deformity: No Full ROM:Yes Tenderness: No Comments: Cardiovascular: RRR: Yes Normal S1/S2: Yes Murmurs: No Carotid Bruits: No JVD:No Arteries: Radial: Femoral: Dorsalis Pedis: Post. Tibialis: Comments: Right Left M Race: WHITE '.b)(6:; (b)(7)(C) LP Generated 07/09/2019 13:03 b ' b)(S); (b)(?)(C ) MLP Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 10of 13

Page 2464 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Abdomen: Normal Contour:Yes Scaphoid: No Obese: No Gravid: No Hernias: No Bruits: No Masses:No Scars: No Tenderness: No Organomegaly: No Active Bowel Sounds: Yes Comments: Extremities: Nails Clubbing: No Nails Cyanosis: No Lower Extremity Edema - Right: None Lower Extremity Edema - Left: None Atrophy: No Amputations: No Other Deformities: No Varicosities: No Calf Tenderness: No Pulse Deficit: No Strength: Arm: Leg: Full ROM: Arm: Leg: Comments: B.igb1 Yes Yes ~ Yes Yes M Race: WHITE :b)(6); (b)(7)(C) MLP Generated 07/09/201913:03 by bi(6);(b)(7)(C) MLP Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 11 of 13

Page 2465 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Reflexes: Biceps: Patellar: Brachioradlalis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia: Not Done Comments: Refused. Skin: Normal:Yes Rash:No Redness:No Abnormal Pigmentation: No Abnormal Lesions/Growths: No Comments: Lymphatics: Adenopathy: No Comments: Potential Items For Follow-up: Item Travel Outside US Other Infectious Disease History Rectum Not Done Male Genitalia Not Done PPD Administration Not Performed Comments: Patient has a history of constipation. M Race: WHITE (b)(6); (b)(7)(C) LP Generated 07109/2019 13:03 b :b)(6); (b)(7)(C) MLP Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 12 of 13

Page 2466 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Cleared For Food Services: Yes Health Problems Newly Identified During This Encounter: Health Problem Constipation, unspecified - Current - New Medication Orders: Bxl! Medication Bisacodyl E.C. Tablet Indication: Constipation, unspecified Disposition: Follow-up at Sick Call as Needed M Race: WHITE b)(6); (b)(7)(C) MLP Order Date 07/09/2019 12:35 Instructed inmate how to obtain medical, dental, and mental health care. Copay Required: No Cosign Required: Yes TelephoneNerbal Order: No Completed by Cbl(5>: (o)(?)cc) MLP on 07/09/2019 13:03 Requested to be cosigned byl(oX5>: (oX7>cc> jMD. Cosign documentation will be displayed on the following page. Generated 07/09/2019 13:03 b o)(5): (b)(?)(C) MLP Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Prescriber Order 5 mg Orally at bedtime PRN x 10 day(s) Page 13 of 13

Page 2467 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M ~--~ Encounter Date: 07/09/2019 12:35 Provider: :oH5>;(olt7l<C> MLP Cosigned b ~._ c 0_H5_>; (_olc_ 7l<_cl ___ __.lMD on 07/11/2019 22:41. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM

Page 2468 Bureau of Prisons Health Services Inmate Local Hospital Reg#: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED- This information is confidential and must be appropriately safeguarded. Transfer To: _______________ Transfer Date: _0_8_/ _10_/_20_1_9 ____ _ Health Problems Health Problem Hyperlipidemia, unspecified HYPERTRIGL YCERIDEMIA Sleep apnea Essential (primary) hypertension BYHX. Constipation, unspecified Low back pain Neuralgia and neuritis, unspecified No Diagnosis Prediabetes Injury, unspecified RIO self inflicted injuries. Body mass index (BMI) 27.0-27.9, adult fils!.tY.§ Current Current Current Current Current Current Current Current Current Current Medications: All medications to be continued until evaluated by a physician unless otherwise indicated. Bolded drugs required for transport. Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days Docusate Sodium 100 MG Cap Exp: 01/22/2020 SIG: Take one capsule (100 MG) twice daily by mouth with plenty of water Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML Exp: 10/28/2019 SIG: shake well take 10ml by mouth twice daily AS NEEDED Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this inmate is currently taking. None Pending Appointments ~ Time ~ 07/24/2019 00:00 Clinical Encounter 01/07/2020 00:00 Chronic Care Visit 07/01/2020 07/09/2020 00:00 00:00 Pending Non-Medication Orders: Chronic Care Visit PPD Administration provider Optometrist Mid-Level Provider Physician 01 Nurse Qrgg[ Order Date FreQuency Duration ~ EKG 07/06/2019 One Time 66 y/o male Fecal Occult Blood 07/06/2019 One Time 3 different stools TB Clearance: Yes Last PPD Date:_0_7_/0_9/_2_0_19 ______ _ lnduration: -=0::..:..m:..::m..:..:..... _____ _ Last Chest X-Ray Date: ___________ _ Results: _ _______ _ TB Treatment: ------------ Sx free for 30 days: _Y;..;e;.,;:s;__ _____ _ TB Follow-up Recommended:_N_o __________ _ Sickle Cell: Sickle Cell TraiUDisease: No ------ Generated 08/10/2019 07:00 b~(b)(6); (b)(7){C) Bureau of Prisons • NYM Page 1 of 2

Page 2469 Reg#: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED - This information is confidential and must be appropriately safeguarded. Limitations/Restrictions/Diets: Cell: lower bunk -- 10/09/2019 Cleared for Food Service: Yes Other diet restrictions: FISH ALLERGIES. -- 07/30/2020 Comments: Allergies No Known Allergies Devices / Equipment C-Pap Travel: Direct Travel: _N..;;,.o ____ _ Travel Restrictions: None ------ UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Address 1: 150 PARK ROW Address 2: -------------- City/St ale/Zip: NEW YORK, New York 10007 Phone Number: 6468366300 ...;;...~..;..a.a;..a..aa..;.... _____ _ Namemtle of Person Completing FormjLrb_>' 5 _); <_bl_r 1_)rc_> __ __Jl1-R_N ____________ Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 DOB: 01/20/1953 Sex: __ M __ _ Generated 08/10/2019 07:00 b 1 b)(6): (b)(7)(C) Bureau of Prisons - NYM Page2 of 2

Page 2470 Bureau of Prisons Health Services Vitals All End Date: 08/10/2019 Begin Date: 07/07/2019 Reg#: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Temperature: Date 07/24/2019 .I.im.e. 13:12 NYM Fahrenheit Celsius Location 97.8 36.6 Oral Orig Entered: 07/24/2019 13:14 EST Cb)C5>: (b)C7l<C> MLP 07/23/2019 06:30 NYM 97.5 36.4 Oral Orig Entered: 07/23/2019 08:33 EST bJc5> CbX7>rc> MLP Provider (b)(6); (b)a)(C) (b)(6); \b)(7)(C) 07/09/2019 12:49 NYM 97.3 36.3 Oral :b)(6); (b)(7i(C) Orig Entered: 07/09/2019 12:51 EST bJtGJ fb)(7)(C) MLP Pulse: 12m .Iim.e. 07/30/2019 13:02 Rate Per Minute 94 Location Rhythm Orig Entered: 07/30/2019 13:04 EST .... l(b_,<5_): (_bl-C7l_tc_> __ __, IMO 07/30/2019 09:40 88 Via Machine Orig Entered: 07/30/2019 13:04 EST .... fb_lc5_>:{_b1_c7_lcc_J __ __, IMO 07/30/2019 09:30 87 Via Machine Orig Entered: 07/30/2019 12:59 EST .... lrb_116_>:_cbJ_11_Hc_, __ _ ~ D 07/28/2019 20:28 81 Orig Entered: 07/28/2019 20:29 EST r )(G);(b)(7)(C) 07/28/2019 06:57 82 Orig Entered: 07/28/2019 06:58 EST rb)(G);ib)(?)(C) 07/24/2019 13:12 83 Via Machine Orig Entered: 07/24/2019 13: 14 EST 11b>C6:: (b)(7HC> I MLP 07/23/2019 06:30 92 Via Machine Orig Entered: 07/23/2019 08:33 EST (b)(6); (b)(7)(C) LP 07/09/2019 12:49 82 Via Machine b)(6); (b)(7)(C) Orig Entered: 07/09/2019 12:51 EST MLP Respirations: ~ 07/30/2019 Iim. 09:30 NYM ,...._ __ __. Rate Per Minute Provider 12 f b)(6); (b)(7)(C) Orig Entered: 07/30/2019 12:59 EST (b){5J: CblCn<c> IRN I RN Regular Regular Regular IMO .__....,... _____ ......__~ 07/28/2019 20:28 NYM 14 ,b)(G);(b)(7)(C) MO RN Orig Entered: 07/28/2019 20:29 EST ICbJ(G>;CblC7>cc) IRN ~---.======-=====-~ 07/28/2019 06:57 NYM 14 fb}(G);(b)(?)(C) IRN Orig Entered: 07/28/2019 06:58 EST bJl5,:(b)C7>cc> RN .____,,,.,..,.,....,..,.,,,,.~....,... 07/23/2019 06:30 NYM 16(b)(6i:(b)(7)(C) Orig Entered: 07/23/2019 08:33 EST (bJCG>;lblC7lCC> MLP 07/09/2019 12:49 NYM 16 (b)(G) (b)(?)(C) MLP Orig Entered: 07/09/2019 12:51 EST bll5>:Cb)(7)(Cl MLP ,...._ __ __, Generated 08/10/2019 11 :02 b~b)(G): (b)(7)(C) Bureau or Prisons -NYM MLP MLP MLP Pmvider [ b)(6); (b)(7)(C) r )(6); (b)(7)(Ci [b)(6); (bh7)(Cl l(b)(6); (b)(7)(C) tb)(6); (b)(7)(C) [b)(6); (b)(7)(C) l(b)l6); lbX7)(C) (b)(6); (b)(7)(C) f MD IMO I MD IRN IRN IMLP IMLP MLP Page 1 of 3

Page 2471 End Date: 08/10/2019 Begin Date: 07/07/2019 Reg#: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/30/2019 13:02 NYM 114/84 Left Arm Standing Orig Entered: 07/30/2019 13:04 EST ... l(b-i(6_l:_<b_)(7_>,c_> ___ _. 07/30/2019 09:40 NYM 125/60 Right A rm Standing Orig Entered: 07/30/2019 13:04 EST .... l'b-l(6_>:_ibJ_a_>(C_l ___ _, 07/30/2019 09:30 NYM 108/86 Left Arm Sitting Orig Entered: 07/30/2019 12:59 EST .... l'b_)'6_>:_<b_>(7-)(c_> __ _ 07/28/2019 20:28 NYM 157/91 Orig Entered: 07/28/2019 20:29 EST ltbH6l;(bl(7l(C) 07/28/2019 06:57 NYM 138/80 Orig Entered: 07/28/2019 06:58 EST fbX6>; (b)m<C> 07/24/2019 13:12 NYM 132/89 Right Arm Sitting l(bK6); (b)(7)(C) jMD l(bK6): (b)(7)(C) IMD [bK6); (b)(7)(C) ~ D l(b;(6); (b)(7)(C) I RN ~b)(6); (b)(7)(C) IRN Adult-regular CbKs>: (bl<7i<c> Orig Entered: 07/24/2019 13:14 EST fbHS);(b)(7)(C> 07/23/2019 06:30 NYM 140/85 Right Arm Sitting IMLP Adult-regularltb)(S); (b)(7)tc> Orig Entered: 07/23/2019 08:33 EST (b)(6); iblC7l(C) MLP 07/09/2019 12:49NYM 117/66 RightArm Sitting Adult-regular 'b)(sJ; (b)(7)(Ci Orig Entered: 07/09/2019 12:51 EST (b)<5>:<b)(7)iC) MLP Blood Glucose: MLP IMLP MLP Date Time Value (mg/di) ~ Regular Insulin Provider IMO IMD jMD jRN IRN 08/04/2019 08:30 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST fb>t5>:<bJf7i(C> IRN .... tb-)(6-);-(b-)(7-)(C_> __ ___.I RN 08/02/2019 06:30 97 Non-Fasting (b)(6); (b)(7)(C) MLP Orig Entered: 08/02/2019 08:16 EST tb)(SUbl(7i(C> MLP 08/01/2019 06:30 103 Non-Fasting (b)(6); (bK7)(C) MLP Orig Entered: 08/01/2019 09:00 EST Cb)C5><b)(7)(C) MLP 07/31/2019 06:15 108 Non-Fasting b)(6); {b)(7)(C) MLP Orig Entered: 07/31/2019 08:36 EST rb)(5):(b)(7)(C) ~ LP SaO2: Date Time Value(¾) Air Provider 07/30/2019 09:30 NYM 98 Room Air (b)(6); (b)(7)(C) D Orig Entered: 07/30/2019 12:59 EST (b)(6); (b)(7)(C) MD 07/28/2019 20:28 NYM 98 '---------..i.....--~ (b)(6); (b)(7)(C) RN Orig Entered: 07/28/2019 20:29 EST .... b_l(6_>:_<b_)(7_>cc_> ___ ..__ ___ _ 07/28/2019 06:57 NYM 98 RN :b)(6); (b)(7)(C) RN Orig Entered: 07/28/2019 06:58 EST tb:t5>: (bl(7)(CJ '--------'--~ 07/24/2019 13:12 NYM 96 Room Air RN (b)(6); (b)(7)(C) MLP Orig Entered: 07/24/2019 13:14 EST CblC5l (blmcci MLP tb)(6); (b)(7)(C) I MLP I MLP 07/23/2019 06:30 NYM 96 Room Air ---- Orig Entered: 07/23/2019 08:33 EST liblC5>:(bl(7KC) 07/09/2019 12:49 NYM 97 Room Air (b)(6); (b)(7)(C) MLP IMLP ~---~'------' Orig Entered: 07/09/2019 12:51 EST i<b>t5>:Cb)(7)CC) Height: Generated 08/10/2019 11 :02 bl b)IS); (b)(?)(C) Bureau of Prisons - NYM Page 2 of 3

Page 2472 End Date: 08/10/2019 Begin Date: 07/07/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD l2a1e. Ii.om .cm Provider 07/09/2019 12:49 NYM 70.0 177.8 fb)(B) (b)(7)(C) IMLP Orig Entered: 07/09/2019 12:51 EST blC5l (b)(7HC> MLP Weight: Date Time Kg Waist Circum. Provider 07/30/2019 09:30 NYM Lbs 194.2 88.1 rb)(6);(b;(7)(C) IMD ~,...,,..,..,=--==:;-----~ Orig Entered: 07/30/2019 12:59 EST b}(5>:<b)C7)(cJ MD L-------:;::;;t~~-, 07/09/2019 12:49 NYM 194.4 88.2 :b)(B);(b)(?)(C) MLP Orig Entered: 07/09/201912:51 ES~:b)C5:;Cb)<7lCC> IMLP Generated 08/10/201911:02 b~(b)(B); (b)(?)(C) Bureau or Prisons - NYM Page 3or 3

Page 2473 Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Admin: Location Provider 07/06/2019 21:39 Right Forearm b)C5J; (b)(7XC) PA-C Orig Entered: 07/06/2019 21 :43 EST b)(B); (b;(7XC) PA-C Total: 1 Generated 08/10/2019 11:02 b ~:b)(G); (blC7)(C) I RN/IOP/IDC Reading: 07/09/2019 12:47 lnduratioa 0mm Provider b)(6); (b)(7)(C) MLP Orig Entered: 07/09/2019 12:47 EST CbJc 6 ) lb/Cl)(C) MLP Bureau of Prisons - NYM Page 1 of 1

Page 2474 76318-054 EPSTEIN, JEFFREY Medication Orders Ord. Date l(b)(G); (b)(7)(C) 07/30/19 14:21 Inject regular Insulin subcutaneously per Exp. Date sliding scale: twice dally ... plll line .. • for 7 07/31/19 days 10:01 NYM 122148- NYM lnsuUn Reg (10 ML) 100 UNITS/ML lnj Ord. Date f b,{6); (b)(7)(C) 07/31/19 10:00 Inject regular lnsulln subcutaneously per tAD D Exp. Dale sliding scale: each morning for 7 days ... pill 08/07/19 line•0 09:59 NYM 122160- NYM Insulin Reg (10 ML) 100 UNITS/ML lnj Providers:j<bl(G); (b)(?)cc; I Time PRN PRN Documentation Codes: ORD = Order I NI = Dose Not Indicated Medication Administration Record JULY 2019 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 .. YJ Registration#: 76318-054 Pl. Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report informalion is current as of the date and time of printing: 08/10/2019 11 :02 EST

Page 2475 76318-054 EPSTEIN, JEFFREY Medication Orders Ord. Date l(b)(6); (b)(?:(C) 07/31/19 10:00 Inject regular Insulin subcutaneously per ~ D Exp. Date sliding scale: each momlng for 7 days ... PIii 08/07/19 llne"' 09:59 NYM 122160- NYM Insulin Reg (10 ML) 100 UNITS/ML lnj Providerst '(5>: (bJ(7itC) I Medication Administration Record AUGUST 2019 Time 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 PRN .. .. YJ YJ Documentation Codes: ORD = Order I NI = Dose Not Indicated Registration#: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report information is current as of the date and lime of printing: 08/10/201911:02 EST

Page 2476 Start Date: 07/07/2019 Reg#: 76318-054 Bureau of Prisons Health Services Devices and Equipment Stop Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Deyjce/Equ;pment Start Date Stop Pate Dat_e Returned Obtained From Comments C-Pap 07/30/2019 14:05 EST .... f°_ )c 6 _); {-bi-(?)-(C-) __ __.I Mo 07/30/2019 Total: 1 Generated 08/10/2019 11 :02 b~:bH5> (b)(?)(C} IRN/IOP/IOC Bureau of Prisons - NYM Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P1131281381ED. Page 1 of 1

Page 2477 Begin Date: 07/07/2019 Reg#: 76318-054 Qm Intervention 07/12/2019 13:25 MEDROL DOSE PACK Bureau of Prisons Health Services Pain Management Pain Quality Shooting Orig Entered: 07/12/2019 13:28 esr ... r b-)( 6 _); (-b:_m _(C-) ----'~ D Generated 08/10/2019 11:02 b 1 b)(6:; (bl(7)(C) f NIIOP/IDC Bureau of Prisons - NYM End Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Location Pre ~ P royjder Back-Middle 5 L.fb_x5_:; <_b){_7>_cc_> __ ____,IMD Page 1 of 1

Page 2478 Types of Diets: _ Clear Liquid Low Fat Mechanical Soft Low Cholesterol _ Low Triglyceride Renal _ Full Liquid Sodium Controlled Snack Diabetic Calorie Controlled X Other: FISH ALLERGIES. Comments: EPSTEIN, JEFFREY EDWARD Inmate Name Generated 07/30/2019 14:57 b ~ (b}(5); (bi(?)(C ) Bureau of Prisons Health Services Modified Diet Request 76318-054 Reg# Bureau of Prisons - NYM Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: 07/30/2020 f b)(6); (b)(7)(C) I MD Health Service Staff 07/30/2019 Date Page 1 of 1

Page 2479 Reg #: 76318-054 Allergy No Known Allergies Bureau of Prisons Health Services Allergies Inmate Name: EPSTEIN, JEFFREY EDWARD Date Noted 07/06/2019 Reactjon Orig Entered: 07/06/2019 21 :40 EST b)(6>; Cb)(?)(Ci Total: 1 A-C Generated 08/10/2019 11 :02 b~(b)(G); (ll)(7i(C) Bureau or Prisons - NYM Page 1 of 1

Page 2480 Bureau of Prisons Health Services Patient Education Assessments & Topics Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Assessments Assessment Learns Best By Speaking/Listening Primary Language English Years of Education Barriers Jo Education 07/09/2019 12 None Orig Entered: 07/09/2019 12:52 EST (b)(6);(b)(7)(C) Total: 1 Topics Date Initiated Format HandoutCTopjc 07/30/2019 Counseling Access to Care Orig Entered: 07/30/2019 13:33 EST l~ ib-)C5->:l-b)(7 ~ )-(C-) ---~ 07/30/2019 Counseling Plan of .,,.C""a""re.,..,..,,,,.,.,,.,... ___ __, r b)(6); (b)(7)(C) Orig Entered: 07/30/201913:34 EST ..... ______ __, 07/28/2019 Counseling Plan of Care Orig Entered: 07/28/2019 07:22 EST ~r b=)(5-); (-b)~(7 )~(C-) ---~I 07/28/2019 Counseling Plan of Care Orig Entered: 07/28/2019 20:30 Esrf~b)~(6-);(-b)(7=, )=(c -) ------, 07/24/2019 Counseling Access to Care Orig Entered: 07/24/2019 13:23 EST b)(5\: (blC7Jcq 07/24/2019 Counseling Preventive Health Orig Entered: 07/24/2019 13:23 EST r b)(S); (b)(7)(C) 07/23/2019 Counseling Access to Care ~---~--~ Orig Entered: 07/23/2019 09:04 EST ibl(5>: lb)(7){C) 07/23/2019 Counseling Plan of.-==a=re=-=~-~ r b)(6): (b)(7)(C) Orig Entered: 07/23/2019 09:04 EST ._ ____ ___. 07/14/2019 Counseling Diagnosis Orig Entered: 07/14/2019 18:11 EST "'"rb'"" )(5,,.. );"" (b)(7 -== ){c,,...) -----, 07/12/2019 Counseling Generated 08/10/2019 11 :02 b{ bX5l: ibX7)(C) Diagnosis f NIIOP/IDC Bureau of Prisons • NYM outcome Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Provider l(b)(6); (b)(7)(C) Provider 'b)l6); (b)(7)(C) Page 1 of2

Reg#: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Topics Date Initiated Format Handout/Topic Total: 10 Orig Entered: 07/12/2019 13:33 ESTI ~~, Generated 08/10/2019 11:02 b~ 9~ ~ IRN/IOP/IOC Bureau of Prisons • NYM Outcome Provider Page 2 of 2 "U Ill IC (1) N .i,. co ...>.

age 2482 Bureau of Prisons Health Services Blood Glucose Begin Date: 07/07/2019 Reg#: 76318-054 End Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD (Reference Range: Random or Fasting 70 - 100, 2 hour post-prandial 70 - 140) Date Time Yilwt ~ 08/04/2019 08:30 NYM 156 Non-Fasting I RN Orig Entered: 08/04/2019 09:08 EsTr :(6); (b)(?)(C) 08/02/2019 06:30 NYM 97 Non-Fasting ~--,----., Orig Entered: 08/02/2019 08:16 EST b)(6 ); <b>C7 i<C> MLP 08/01/2019 06:30 NYM 103 Non-Fasting Orig Entered: 08/01/2019 09:00 ESTl-<b-)CG->; (-b)-(7)-(c-> - ~ LP 07/31/2019 06:15 NYM 108 Non-Fasting ---- Orig Entered: 07/31/2019 08:36 EST b)(G); <b)(?)rc> LP Total: 4 Generated 08/10/2019 11:02 bf b)(5); (b)(7)(C) IRN/IOP/IDC comments Bureau of Prisons - NYM Page 1 of 1

Page 2483 Bureau of Prisons Health Services Health Problems Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Pescnption Hyperlipidemia, unspecified .,,..,..,,.,....,,...,.=,------, 07/12/2019 13:48 EST (b)(6);(b)(?)(C) MD HYPERTRIGL Y Sleep apnea 07/12/2019 13:56 ESTr )(6);(b)(?)(C) 1 Mo Essential (primary) hypertension 07/30/2019 13:13 ESTr ){5);(b)(?)(C) ~ D BYHX. Constipation, unspecified 07/09/2019 12:58 EST"'" j<b=lr6,...., > : (,.,.., b)(7=lc=c)--,IMLP Low back pain 07/12/2019 13:30 ESTr )(6);ib)(?)(C) 1 MD Neuralgia and neuritis, unspecified 01,12,2019 13:30 EST .... rb_)< 6_n_b)(-?)(_C_) ------'MD No Diagnosis 07/09/2019 10:28 ESTrb)(6); (b)(?)(C) PhD/Chief Psychologist Prediabetes 07/30/201913:26 EST r )(6);(b)(?)(C) 1 MD Injury, unspecified 07/23/2019 09:04 ESTrb)(5): (b)(?)(C) ~ LP RIO self inflicted injuries. Body mass index (BMI) 27.0-27.9, adult 07/30/2019 13:14 EST llb)(5);(b)(7)(C: ~ D Total: 10 Generated 08/10/2019 11 :02 by .b)(5); (b)(7)(C) RN/IOP/IOC Am CodeType Current ICD-10 ICD-10 ICD-10 ICD-10 ICD-10 ICD-10 DSM-IV ICD-10 ICD-10 ICD-10 Bureau of Prisons - NYM ~ Piag. Pate ~ Status Date E785 07/12/2019 Current G4730 07/12/2019 Current 110 07/30/2019 Current K5900 07/09/2019 Current M545 07/12/2019 Current M792 07/12/2019 Current No Ox 07/09/2019 Current R7303 07/30/2019 Current T1490 07/23/2019 Current 26827 07/30/2019 Current Page 1 of 1

Page 2484 Mail Attachment Epstein BEMR pt 5.pdf Page 14932

Page 2485 Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Vision Screen on 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 Near Vision: OD: With Corrective Distance Vision: OD: Near Vision: OD: OS: 20/70 OS: OS: OS: Present Glasses - Distance Refraction - Distance Sphere Cylinder Axis Add Sphere Cylinder R: R: L: L: Color Test: Tonometry: R: L: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST (b)<5>;<b)(7)(C) MLP Generaled 08/10/2019 11 :02 b~'.b)(6): (b)[7)(C) Bureau of Prisons • NYM OU: OU: OU: OU: Axis Add Page 1 of 1

Page 2486 Bureau of Prisons Health Services Immunizations Begin Date: 07/07/2019 Reg#: 76318-054 End Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD lrorounjzatjon lromunjzatjon Date Administered Location Hepatitis A and B (TwinRx) History Unknown Dosage Drug Mtg, Orig Entered: 07/09/2019 12:51 EST jcb;(sJ; <b)f?)(C> IMLP Measles/Mumps/Rubella Series History Unknown Orig Entered: 07/09/2019 12:51 EST b)(S>; (b)(?)(C> LP Smallpox Series 1s ory Unknown Orig Entered: 07/09/2019 12:51 EST f b)(S);(b}(7)(C) IMLP Tetanus History Unknown Orig Entered: 07/09/2019 12:51 EST f bl(S); (b)(7)(C) IMLP Varicella Series History Unknown Orig Entered: 07/09/2019 12:51 EST b)(5>:(b)(7)(C> MLP Total: 5 Generated 08/10/2019 11 :02 b~(bl(5>: (b)(7)(C) f N/IOP/IDC Bureau of Prisons • NYM Exp Date Page 1 of 1

Page 2487 Bureau of Prisons· Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status confined to the living quarters except meals _ pill line treatments on complete bed rest: _bathroom privileges only ~ cell: _ cell on first floor _single cell X lower bunk airborne infection isolation other: Physical Limitation/Restriction all sports _ weightlifting: _ upper body lower body Exp. Date: ___ :;.._;:..._..:.~ Exp. Date: ___ _ _ _ Exp.Da~: _1_o_ro_9_1_20_1_9_ Exp. Date: _ _ ___ _ Exp.Da~: _____ _ Exp. Date: _____ _ cardiovascular exercise: _ running _jogging _walking softball Exp .. Date: _____ _ football basketball handball _ stationary equipment other: ______________________ _.:;_....:..._.::.~ Exp. Date: _ ____ _ May have the following equipment in his / her possession: Equipment C-Pap PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL#: P1131281381ED. Work Restriction/ Limitation: -----~- Cleared for Food Service: Y ..c...e.:...;s;____ X No Restrictions Comments: N/A l(b)(6); (b)(7)(C) IMO Health Services Staff Start Date End Date Return Date 07/30/2019 07/30/2019 Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: _____ .,___c_c....;...c.;._;_;_...c.;.;_;....;_;___:_c.::....._ 76318-054 Quarters: _ _ 2_04 __ ALL EXP/RATION DA TES ARE AT 24:00 Generated 08/10/2019 11 :02 byl._:b)_(6_>: <_bl_c7>_(c_> __ __, Bureau or Prisons - NYM Page 1 oF1

Page 2488 Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status confined to the living quarters except meals on complete bed rest: _bathroom privileges only X cell: _cell on first floor _single cell X lower bunk other: Physical Limitation/Restriction all sports weightlifting: _upper body _ lower body pill line treatments Exp. Date: _____ _ Exp. Date: - - - - - - airborne infection isolation Exp. Date: __ 10_/_09_/_20_1_9_ Exp. Da~: ____ _ _ Exp.D~e: _____ _ Exp. Date: _____ _ cardiovascular exercise: _running _jogging walking handball softball Exp. Date: ------ football basketball stationary equipment other: Exp.Da~: _____ _ May have the following ectuipinent in his/ her possession: Work Restriction / Limitation: Cleared for Food Service: Yes ---- x No Restrictions Comments: N/A f b:(6); (b)(7)(C) IMLP 07/09/2019 Health Services Staff Date Inmate Name: __ E_P_S_T_E_I_N..:..., _JE_FF_R_EY_E_D_W_ A_R_D __ Reg#: __ 7_6_31_8_-_05_4 __ Quarters: __ Z_0_4_ ALL EXP/RATION DA TES ARE AT 24:00 Generated 08/10/2019 11 :02 by f b)(5:: (b)(l )(C) Bureau of Prisons - NYM Page 1 of1

Page 2489 Complex: NYM--NEW YORK MCC Inmate: EPSTEIN, JEFFREY EDWARD Bureau of Prisons Health Services Medication Summary Historical Begin Date: 07/07/2019 Reg#: 76318-054 End Date: 08/10/2019 Quarter: Z04-206LAD 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: l(b)(5>: (bi(?)(C> IMLP Start: 07/09/19 Exp: 07/19/19 D/C: 07/12/19 Pharmacy Dispensings: 10 TAB in 32 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) by mouth twice daily for 30 days Rx#: 121823-NYM Doctor: rb)(S}; (b)(?)(C) IMO Start: 07/12/19 Exp: 08/11/19 Pharmacy Dispensings: 60 CAP in 29 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) twice daily by mouth with plenty of water Rx#: 122084-NYM Doctor: fbH5>:(b)(7i(C) IMD Start: 07/26/19 Exp: 01/22/20 Pharmacy Dlspenslngs: 30 CAP in 15 days Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML shake well take 2 tablespoonful twice daily by mouth Rx#: 121835-NYM Doctor: fb>(51 (b)(7HC> IMO Start: 07/12/19 Exp: 07/14/19 Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML shake well take 10ml by mouth twice dail AS NEEDED Rx#: 122150-NYM Doctor: bH5>:(biC7Hc> MD Start: 07/30/19 Exp: 10/28/19 methylPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rx#: 121836-NYM Doctor: ~fb>-(5-l: (b-)(7-l(-C>---~IMD Start: 07/12/19 Exp: 07/18/19 methylPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rx#: 122149-NYM Doctorf""b)=c5>,....,: (b...,.,)(7=>cc"'">------.,MD Start: 07/30/19 Exp: 08/05/19 Pharmacy Dlspensings: 473 ML in 29 days Pharmacy Dispensings: 473 ML in 11 days Pharmacy Oispensings: 21 tab in 29 days Pharmacy Dispensings: 21 tab in 11 days Generated 08/10/2019 11 :02 b ~ :b)(B); (b)(7)(C) Bureau of Prisons • NYM Page 1 of 2

Page 2490 Complex: NYM--NEW YORK MCC Inmate: EPSTEIN, JEFFREY EDWARD Active Prescriptions Omega 3 (Vascepa) 1 GM Capsule Begin Date: 07/07/2019 Reg #: 76318-054 Take two capsules (2 GM) twice daily by mouth with food Rx#: 121885-NYM Doctor: r >)(6) (b)(?)(C) IMD End Date: 08/10/2019 Quarter: Z04-206LAD Start: 07/17/19 Exp: 01/13/20 Pharmacy Dlspensings: 180 Cap in 24 days Insulin Reg (10 ML) 100 UNITS/ML lnj Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days ***pill line*** Rx#: 122148-NYM Doctor:l(b)(6);(b)<n(c) ~ D Start: 07/30/19 Exp: 08/06/19 DIC: 07/31/19 Pharmacy Olspenslngs: 0 ML in 11 days Insulin Reg (10 ML) 100 UNITS/ML lnj Inject regular insulin subcutaneously per sliding scale: each morning for 7 days ***pill line*** ***pill line*** Rx#: 122160-NYM Doctor: 1Cb)l6> <bX7>(c ) I MD Start: 07/31/19 Exp: 08/07/19 Pharmacy Dispenslngs: 0 ML in 10 days Generated 08/10/2019 11 :02 by j(b)(6); (bl\? )(C) Bureau of Prisons - NYM Page 2 of 2

Page 2491 Bureau of Prisons Health Services Dental Health History Screen Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/26/2019 07:54 Provider: l(b)l5): (bP)(C) PDS Facility: NYM Unit: H01 ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems Health Problem Hyperlipidemia, unspecified HYPERTRIGL YCERIDEMIA Sleep apnea Constipation, unspecified Low back pain Neuralgia and neuritis, unspecified No Diagnosis Injury, unspecified R/0 self inflicted injuries. Medical History as of Dental Health History Encounter date: 07/26/2019 07:54 Medical History: Allergies: Seizures: Diabetes: Cardiovascular: CVA: Hypertension: Respiratory: Sickle Cell Anemia: Carcinoma/Lymphoma: HIV History: When Tested: Test Result: When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied Denied Denied Denied Denied Denied Denied Denied Denied 2019 Negative Denied Generated 07/26/2019 07:59 b1 b)f5); fblC7Jrc) 100s Bureau or Prisons - NYM filfilY£ Current Current Current Current Current Current Current Page 1 or 3

Page 2492 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/26/2019 07:54 Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: NIA Genital Warts: No Chlamydia: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other: No Comments: Chlamydia in 2015, treated Chicken pox in childhood Other Health Issues: Sex: M Race: WHITE Provider: ( b)C6>: (b)(?:(C) !DDS Other Medical Conditions And Treatment: sleep apnea Current Medical Conditions: Other Current Treatments: Pregnant: N/A Dental Observations as of Dental Health History Encounter date: 07/26/2019 07:54 History: Alcohol: No Methamphetamine: No Tobacco products: No Other drugs: No Sensitive teeth: No Bleeding gums: Yes Food impaction: Yes Pain around ear: No Toothache: No Wear partial dentures: No Unusual sounds while eating: No Snoring: Yes Blisters on lips or mouth: No Clenching or grinding: Yes Swelling or lumps in mouth/throat: No Burning tongue: No Bad breath: No Decayed teeth: No Loose teeth: No Wear dentures: No None: No Comments: Generated 07/26/2019 07:59 b b)(S): <b)(?)(C) DDS Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: H01 Page2of 3

Page 2493 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/26/2019 07:54 Provider: bJ(5> (blm(c> OS Facility: NYM Unit: H01 Cardiac Condition Requiring Prophylaxis: No Prosthetic joint(s): No Radiation history of head or neck: No Excessive bleeding: No Bisphosphonates: No Comments: Medications as of Dental Health History Encounter date: 07/26/2019 07:54 Medications: Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this inmate is currently taking. Instructed inmate how to obtain medical, dental, and mental health care. Copay Required: No Cosign Required: No TelephoneNerbal Order: No Completed b~(bi(5>: (bJ(7)(C> IDDS on 07/26/2019 07:59 Generated 07/26/2019 07:59 b~ b:C6); (b)a ;cc J pos Bureau of Prisons - NYM Page 3 of 3

Page 2494 Bureau of Prisons Health Services Dental A&O Exam Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/26/2019 07:47 Reviewed Health Status: Yes Occlusion: Class I Oral Hygiene: Fair CPITN: 3 2 3 3 2 3 Sex: M Provider: Race: WHITE b)(6); (b)(7)(C) DDS Hard and soft tissue examination performed and documented on BP618 form: Yes Head & Neck/Soft Tissue within normal limits? No Comments: moderate to advanced upper posterior gingival recession Decayed: Missing: Filled: 14 0 1 Comments: Lower anterior crowding Approved for hygiene appointment and radiographs: Yes Reg #:. Facility: Unit: 76318-054 NYM H01 Instructed inmate how to obtain routine and emergency dental care. Oral hygiene instructions given: Yes Dental A&O Screening Exam findings entered on EPSTEIN, JEFFREY EDWARD b~ ib\C5:: (b)C7>cc> 07/26/2019 07:47. Generated 07/26/2019 08:00 b / b)(B); (b)(7)(C) Bureau of Prisons - NYM IDDSon Page 1 of 1

Page 2495 Bureau of Prisons Health Services Dental Soap/Admin Encounter Inmate Name: Date of Birth: EPSTEIN, JEFFREY EDWARD 01/20/1953 Encounter Date: 07/18/2019 13:48 Screening encounter at Dental Clinic. Reason Not Done: Unavailable Sex: M Race: WHITE Provider: r b)(6); (b){?)(C) I Dental Asst Reg#: Facility: Unit: 76318-054 NYM 205 Comments: Patient has had several call outs for his Dental A & 0 screening but has not been escorted to the dental clinic. Cosign Required: No Completed b~""(b.,.,, >(5,.,... >: .,,.., (b>""' (7,..,.,)(c,.,...)----,IDental Asst on 07/19/201913:49. Generated 07/19/2019 13:49 b~(b)(6); (b)(7)(Ci !Dentel Bureau of Prisons - NYM Page 1 of 1

Page 2496 Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M Sodium Potassium Chloride CO2 BUN Creatinine eGFR (IOMS) Springfield, MO 65807 417-874-1621 Facility MCC New York Order Unit E06-547U Provider t b)(6i; (bK?:(C) IMO CHEMISTRY 137 4.7 99 27 17 1.05 >60 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 Glucose 102 A~ H ~ ALT 62 Alkaline Phosphatase 64 Bilirubin, Total 1.1 Total Protein 7.3 Albumin 4.4 Globulin 2.9 Alb/Glob Ratio 1.50 Anion Gap 10.2 BUN/Creat Ratio 16.1 Cholesterol H 216 Triglycerides H 413 ..... Sensitive But Unclassified ,._ Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/2019 14:46 LIS ID 188191004 137-148 3.5-5.0 99-114 22-30 7-22 0.66-1.25 8.5-10.9 70-110 11-55 11-66 41-133 0.2-1.3 6.0-8.2 3.6-5.1 2.0-3.7 1.00-2.30 9.0-19.0 5.0-30.0 <200 10-150 mmol/L mmol/L mmol/L mmol/L mg/dL mg/dL mg/dl mg/dl U/L U/L U/L mg/dl g/dl g/dL g/dl mg/dl mg/dl Calculation of LDL is not appropriate for samples with a triglyceride greater than 400 mg/dL. Therefore the LDL is not calculated. HOL Cholesterol L 31 40-60 mg/dL Chol/HOL Ratio H 6.9 0.0-4.0 WBC NRBC% RBC Hemoglobin Hematocrit MCV MCH MCHC ROW-CV Platelet L HEMATOLOGY 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 4.3-1 1.1 4.46-5.78 13.6-17.6 40.2-51.4 82.5-96.5 27.1-34.9 33.0-37.0 12.0-14.0 130-374 K/uL % M/ul g/dL % fl pg g/dl % K/ul FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 1 of 3

Page 2497 • Federal B"4reau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M MPV Neutrophils % Springfield, MO 65807 417-874-1621 Facility MCC New York Order Unit E06-547U Providerfb)C5>: (b)(7)CC> I MD HEMATOLOGY 10.4 58.7 ••• Sensitive But Unclassified ... Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/2019 14:46 LIS ID 188191004 6.9-10.5 fl % Therapeutic decision making should be based on absolute values, rather than percentages Lymphocytes % 25.0 Monocytes % Eosinophils % Basophils % Immature Granulocytes % Neutrophils # Lymphocytes# Monocytes # Eosinophils # Basophils# Immature Granulocytes # Hemoglobin A 1 C 5.7 - 6.4 Increased Risk > 6.4 Diabetes RPR H 11.1 4.1 0.8 0.3 4.4 1.9 0.8 0.3 0.1 0.02 HEMOGLOBIN A1C 6.3 SEROLOGY Non-Reactive Results may be affected in patients with severely advanced immunosuppression. 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 <5.7 Non-Reactive % % % % % K/ul K/ul K/ul K/ul K/ul 10"3/ul % FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal Al =Abnormal Critical Page 2 of 3

Page 2498 • Federal Bl.!reau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M Springfield, MO 65807 417-874-1621 Facility MCC New York Order Unit E06-54 7U Provider r )(6); (bj\?)(C) IMO HIV HIV 1 /2 Negative Screening test - See confirmatory testing for Reactive results *** Sensitive But Unclassified ... Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/2019 14:46 LIS ID 188191004 Negative FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal Al =Abnormal Critical Page 3 of 3

Page 2499 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Cosigned b~ .... ,:b_H5_>:_<bl_c7_>cc_> ___ __,JIMD on 07/14/2019 18:12. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM

Page 2500 BP-S358.060 SEP05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE. FEDERAL BUREAU OF PRISONS 7-24--2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. y t I l ! r t ' l i t I I understand the possible consequences and/or complications, listed above, and stlll refuse i. 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. ,b){6); (b)(7}(C) 7-24-2019 Counseled by Date t'sSig~ Date (b)(6); (b)(7)(C) 1 nature of Wi NYM--NEW YORK MCC (b){6); (b)(7)(C)

Page 2501 I BP•A0618 JUN 16 A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE 5: ' 2 i 32 31 3 4 5 8 7 8 9 10 11 12 13 30 29 28 27 28 25 2• 23 22 21 20 Dental Prostheses at Intake: Yes Type: Age: Condition: G Intra-oral Photos Taken: Yes 0 FEDERAL BUREAU OF PRISONS Occlusion: Oral Hygiene: Good Fair CPITN: 2. 3 2- Head & Neck / Soft Tissue: 14. 15 16 fn 19· 18 17 :?I 1--- ----.....-,,...,--....,.,,..-.---------t c,\l 'O Classification: :==,== CLT F: /Y Pain Scale: /10. Radiographs Taken: (Document findings on A&O encounter) Yes Instructed how to obtain urgent and non-urgent dental care: No: Treatment Priorities: None: Radiographs authorized: PAs: ____ _ BWs: _ ___ _ Panorex: ___ _ n Institution: 7 b 3 I~ OS"'\ MCC NEW YORK PDF Non-urgent non-urgent Urgent Referred to Sick Call: Prophylaxis authorized: Yes ✓ No (Approval valid 18 months from examination date) Dentist Si na (b)(6); (b)(7)(C) Date: 7-U-/9. Prescribed by P6400 Signature Block/Stamp: cer Replaces BP-A0618 of JUN 10 /

Page 2502 Please give me that Epstein file and our notes from last Weds meeting - you put in your locker for us From To Date 2019/10/07 14:05 Subject: Please give me that Epstein file and our notes from last Weds meeting - you put in your locker for us Attachments: TEXT.htm I am going to write responses tomorrow. Thanks r b)(G); (b)(7)(C ) 1 ~l ----~Psy.D. Chief Psychologist U.S. Department of Justice/ Federal Bureau of Prisons Metropolitan Correctional Center 150 Park Row New York, New York 10007 Office: (646) 83~(b)(G); (b}(7)(c) Fax: (646) 836-7712 E-mail:jCb)(G);(b)(7)cc) ~ bop.gov Page 14961

Page 2510 Fwd: Re: Epstein #76318-054 From To Date Subject: Attachments: r )(6); (b)(7)(C) 2019/07/24 12:42 Fwd: Re: Epstein #76318-054 Re: Epstein #76318-054 Page 15065

Page 2511 Re: Epstein #76318-054 From ..,. ,b=)t6-- ); t,._ b)(7=-Jc=c >--------, To Date Subject: 2019/07/24 12:41 Re: Epstein #7 6318-054 Attachments: TEXT.htrnj~'.b)-cs>_:(b_)< 7 _>tc_> ___ _,!vcf S I · 11 I k RN (b)(6); (b)(7)(C) ure, w, ta to If he doesn't have the med, let me ask MD for a new Rx. Thank You, 'b)(6); (b)(7)(C) r )( 6 ); (b)(7)(C) IPharmD, MS, BCACP CAPT, U.S. Public Health Service Chief Pharmacist MCC New York 1 SO Park Row, New York, NY 10007 l (b)(6); (bX7)(C) ~ b . rf~ of"p.a.-a.g--=o~v=--~~ '---=-'ph_o_n_e_,: (646) 83 tbl(G>: (b)(?)cc > Fax: (646) 836-7680 "This message is intended for official use and may contain SENSITIVE information. If this message contains SENSITIVE information, it should be properly delivered, labeled, stored, and disposed of according to policy." Commissioned Corps of the United States Public Health Service - "Protecting, promoting, and advancing the health and safety of the Nation" > >[b/(6); (b)(7)(C) V/24/2019 11:34 AM>>> Okay, thank you. Perhaps you can advise the Duty PA to ensure the inmate receives the medication while on Psychological Observation? If not, I can do so. > > 1 (b)(6); (b)(7)(C) Hello, ~/24/2019 11:32 AM>>> Hm.. his docusate sodium 100mg (colace) was filled for a 30 day supply on 7/12 .. ? Thank You, (b)(6); (b)(7)(C) r )(6); (b)(7)(C) f harmD, MS, BCACP CAPT, U.S. Public Health Service Chief Pharmacist MCC New York Page 15069

Page 2512 150 Park Row, New York, NY 10007 l(b)(6); (b1a 1(c> ~ bop.gov Phone: (646) 83 (b>(5>; (bl(7)(c> Fax: (646) 836-7680 "This message is intended for official use and may contain SENSITIVE information. If this message contains SENSITIVE information, it should be properly delivered, labeled, stored, and disposed of according to policy." Commissioned Corps of the United States Public Health Service - "Protecting, promoting, and advancing the health and safety of the Nation" > > b)(6); (b)(?)(Cj /24/2019 10:57 AM > > > i:::-b)~(6~);(;:-::b)(~7)(~C):-------, __ ___. This inmate, who is currently on Psychological Observation, said he has not been receiving his constipation medication. Page 15070

Page 2513 Psych Observation 7/8/19 6 pm until 7/10/19 at 9 am re: Epstein, Jeffrey Edward, Reg. No. 73618-054 From To Date Subject: Attachments: N'Diaye, Lamine (Charisma Edge) Lamine N'Diaye, Ray Ormond 2019/08/12 15:55 Psych Observation 7/8/19 6 pm until 7/10/19 at 9 amre: Epstein, Jeffrey Edward, Reg. No. 73618-054 TEXT.htm, Charisma Edge.vcf, Epstein Psych Observation 7-8-10- 2019.pdf Psych Observation 7 /8/19 6 pm until 7 /10/19 at 9 am (1/M companion utilized) Page 15076

Page 2514 Psych Observation 7/8/19 6 pm until 7/10/19 at 9 am re: Epstein, Jeffrey Edward, Reg. No. 73618-054 From To Date Subject: Attachments: N'Diaye, Lamine (Charisma Edge) Lamine N'Diaye, Ray Ormond 2019/08/12 15:33 Psych Observation 7/8/19 6 pm until 7/10/19 at 9 amre: Epstein, Jeffrey Edward, Reg. No. 73618-054 TEXT.htm, 2019 _ 08 _ 12 _ 15 _ l 8 _ l l .pdf, Charisma Edge. vcf Psych Observation 7 /8/19 6 pm until 7 /10/19 at 9 am (1/M companion utilized) Page 15097

Page 2515 Fwd: MCC Visit Thursday From To Date 2019/08/14 09:18 Subject: Fwd: MCC Visit Thursday Attachments: TEXT.htm Page 15118

Page 2516 r }(6); (b)(7)(C) I just wanted to keep you in the loop as to the visit arranged for tomorrow with the USAO. Thanks, (b)(6); (b)(7)(C) Supervisory Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, New York 10007 p: (646)83 (b)(6); (b)(7)(C) f: (646)836-7665 > > > (b)( 6 ); (b)(7)(C) (USANYS)" ~r b-)( 6 _1; (-b)(-?)(_Ci ____ [email protected]> 8/13/2019 2:05 PM > > > ..,,.. (b,...., )(6-); (-,,. b]i='7).,.,. (C,- ) --....-------' The list of visitors from our office is below: (b)(6); ib)(7)(C) As discussed, we would like to see the 2nd floor pscyh observation and suicide watch area; the 9th floor SHU, and Epstein's cell, which we understand to still be cordoned off. As discussed, we would appreciate if only MCC legal would escort us, and we will not speak to any of the guards present given the ongoing investigations. Please give me a call with any questions, and let us know what time and where we should go, and if it would be easier for us to enter via the 3rd floor bridge. Thanks, l(b)(6); (b)(7)(C) Assistant United States Attorney Southern District of New York Tel: (212) 63 ,b)<5J; (b)C7>cc> Page 15119

Page 2517 Re: Suicide Watch/Psych Observation Update From To b)(6); (b)(7)(C) Date 2019/08/01 08:05 Subject: Re: Suicide Watch/Psych Observation Update Attachments: TEXT.htm It's in your mailbox. Also pay is due this week. Also please sig leaving Monday. Thanks, r )(6); (b)(7)(C) > > r (6); (b)(?)(C) ~1112019 8:03 AM > > > do you have epstein's psych obs book (b)(6); (b)(7)(C) Psy.D. ---=~~~~~ Chief Psychologist U.S. Department of Justice/ Federal Bureau of Prisons Metropolitan Correctional Center 150 Park Row NewYork, New York 10007 Office: (646) 836{b)(G); (b)(7)(c> I Fax: (646) 836-7712 E-mail:rb)(G);(b)(?)(C) ~ bop.gov > > tb)(G) (bX?)(C) 18/1/2019 7:46 AM > > > Suicide Watch rbi(6): (b)(7)(C) Psych Observation None Thank you, (b)(6): (b)(7;(C) (b)(6): (b)(7)(C) val. It's in your mailbox. He is Page 15123

Page 2518 Psych Observation 7/24-30/19 (1/M companion utili:zed) re: Epstein, Jeffrey Edward, Reg. No. 73618-054 From To Date Subject: Attachments: N'Diaye, Lamine (Charisma Edge) Lamine N'Diaye, Ray Ormond 2019/08/12 15:56 Psych Observation 7/24-30/19 (1/M companion utilized) re: Epstein, Jeffrey Edward, Reg. No. 73618-054 TEXT.htm, Charisma Edge.vcf, Epstein Psych Observation 7-24-30- 2019.pdf Psych Observation 7 /24-30/19 (1/M companion utilized) Page 15281

Page 2519 Psych Observation 7/24-30/19 (1/M companion utili:zed) re: Epstein, Jeffrey Edward, Reg. No. 73618-054 From To Date Subject: Attachments: N'Diaye, Lamine (Charisma Edge) Lamine N'Diaye, Ray Ormond 2019/08/12 15:35 Psych Observation 7/24-30/19 (1/M companion utilized) re: Epstein, Jeffrey Edward, Reg. No. 73618-054 TEXT.htm, 2019 _08_12_15 _15 _ 46.pdf, Charisma Edge.vcf Psych Observation 7 /24-30/19 (1/M companion utilized) Page 15317

Page 2520 Psych Observation 7/24-30/19 (1/M companion utili:zed) re: Epstein, Jeffrey Edward, Reg. No. 73618-054 From To Date Subject: Attachments: N'Diaye, Lamine (Charisma Edge) Lamine N'Diaye, Ray Ormond 2019/08/12 15:56 Psych Observation 7/24-30/19 (1/M companion utilized) re: Epstein, Jeffrey Edward, Reg. No. 73618-054 TEXT.htm, Charisma Edge.vcf, Epstein Psych Observation 7-24-30- 2019.pdf Psych Observation 7 /24-30/19 (1/M companion utilized) Page 15456

Page 2530 Psych Observation 7/24-30/19 (1/M companion utili:zed) re: Epstein, Jeffrey Edward, Reg. No. 73618-054 From To Date Subject: Attachments: N'Diaye, Lamine (Charisma Edge) Lamine N'Diaye, Ray Ormond 2019/08/12 15:35 Psych Observation 7/24-30/19 (1/M companion utilized) re: Epstein, Jeffrey Edward, Reg. No. 73618-054 TEXT.htm, 2019 _08_12_15 _15 _ 46.pdf, Charisma Edge.vcf Psych Observation 7 /24-30/19 (1/M companion utilized) Page 15556

Page 2531 Psych Observation 7/24-30/19 (1/M companion utili:zed) re: Epstein, Jeffrey Edward, Reg. No. 73618-054 From To Date Subject: Attachments: N'Diaye, Lamine (Charisma Edge) Lamine N'Diaye, Ray Ormond 2019/08/12 15:56 Psych Observation 7/24-30/19 (1/M companion utilized) re: Epstein, Jeffrey Edward, Reg. No. 73618-054 TEXT.htm, Charisma Edge.vcf, Epstein Psych Observation 7-24-30- 2019.pdf Psych Observation 7 /24-30/19 (1/M companion utilized) Page 15592

Page 2532 Psych Observation 7/24-30/19 (1/M companion utili:zed) re: Epstein, Jeffrey Edward, Reg. No. 73618-054 From To Date Subject: Attachments: Charisma Edge Lamine N'Diaye 2019/08/12 15:31 Psych Observation 7/24-30/19 (1/M companion utilized) re: Epstein, Jeffrey Edward, Reg. No. 73618-054 TEXT.htm, 2019 _08_12_15 _15 _ 46.pdf, Charisma Edge.vcf Psych Observation 7 /24-30/19 (1/M companion utilized) Page 15628

Page 2533 Epstein, Jeffrey Edward, Reg. No. 76318-054X From rb)(6); (b)(?)(C) I To Date Subject: Attachments: r )(G); (b)(?)(C) !Charisma Ed e , f b)(G); (b)(?)(C) Lamine N Diaye b)(G); (b,(?)(C) NYM/ '='""----,E=-xe_c_u_tl.,..-. v-e-S-ta-f=r,-s=hir ....,._....,.1-ey------V~. Skipper-Scott 2019/08/13 14:11 Epstein, Jeffrey Edward, Reg. No. 76318-054X Epstein, Jeffrey Edward, Reg. No. 76318-054X.docx, Modified copy of Epstein, Jeffrey Edward, Reg. No. 76318-054X.docx Page 15738

Page 2534 Inmate Suicide Prevention Memo From (b)(6i: (b)(7)(C ) 'b)(6); (b}(7)(C) To ~-----~ Hugh Hmwitz Date 2019/10/17 13:40 Subject: Inmate Suicide Prevention Memo Attachments: TEXT.htm Hugh, Wanted to give you the heads up, there is an Inmate Suicide Prevention Pro ram Memo in your mailbox that you will probably want to review tomorrow. I discussed it with 'b)( 6 > (b)(7)(c ) today. Basically following inmate Epstein's suicide, Wardens are defaulting to leaving inmates on suicide watch longer than the institutional Psychologists would advise. So the memo to the RDs seeks to remind Wardens to utilize the professional psychological expertise of the institutional psychologists in managing inmate suicide through the variety of healing strategies. ~\~lee) is in the office tomorrow, 10/ 18, if you want to discuss with her the best way to communicate this to the RD and Wardens and if you have any questions. Have a great day. Peace co)r5) (b)(7)(C) Page 15747

Page 2535 Psych Observation 7/8/19 6 pm until 7/10/19 at 9 am re: Epstein, Jeffrey Edward, Reg. No. 73618-054 From To Date Subject: Attachments: N'Diaye, Lamine (Charisma Edge) Lamine N'Diaye, Ray Ormond 2019/08/12 15:55 Psych Observation 7/8/19 6 pm until 7/10/19 at 9 amre: Epstein, Jeffrey Edward, Reg. No. 73618-054 TEXT.htm, Charisma Edge.vcf, Epstein Psych Observation 7-8-10- 2019.pdf Psych Observation 7 /8/19 6 pm until 7 /10/19 at 9 am (1/M companion utilized) Page 15751

Page 2536 Psych Observation 7/8/19 6 pm until 7/10/19 at 9 am re: Epstein, Jeffrey Edward, Reg. No. 73618-054 From To Date Subject: Attachments: N'Diaye, Lamine (Charisma Edge) Lamine N'Diaye, Ray Ormond 2019/08/12 15:33 Psych Observation 7/8/19 6 pm until 7/10/19 at 9 amre: Epstein, Jeffrey Edward, Reg. No. 73618-054 TEXT.htm, 2019 _ 08 _ 12 _ 15 _ l 8 _ l l .pdf, Charisma Edge. vcf Psych Observation 7 /8/19 6 pm until 7 /10/19 at 9 am (1/M companion utilized) Page 15772

Page 2537 Psych Observation 7/8/19 6 pm until 7/10/19 at 9 am re: Epstein, Jeffrey Edward, Reg. No. 73618-054 From To Date Subject: Attachments: N'Diaye, Lamine (Charisma Edge) Lamine N'Diaye, Ray Ormond 2019/08/12 15:33 Psych Observation 7/8/19 6 pm until 7/10/19 at 9 amre: Epstein, Jeffrey Edward, Reg. No. 73618-054 TEXT.htm, 2019 _ 08 _ 12 _ 15 _ l 8 _ l l .pdf, Charisma Edge. vcf Psych Observation 7 /8/19 6 pm until 7 /10/19 at 9 am (1/M companion utilized) Page 15800

Page 2538 Psych Observation 7/8/19 6 pm until 7/10/19 at 9 am re: Epstein, Jeffrey Edward, Reg. No. 73618-054 From To Date Subject: Attachments: N'Diaye, Lamine (Charisma Edge) Lamine N'Diaye, Ray Ormond 2019/08/12 15:55 Psych Observation 7/8/19 6 pm until 7/10/19 at 9 amre: Epstein, Jeffrey Edward, Reg. No. 73618-054 TEXT.htm, Charisma Edge.vcf, Epstein Psych Observation 7-8-10- 2019.pdf Psych Observation 7 /8/19 6 pm until 7 /10/19 at 9 am (1/M companion utilized) Page 15821

Page 2539 Epstein, Jeffrey Edward, Reg. No. 76318-054X From To Date Subject: Attachments: (b)(6); ib)(7)(C) 'b)(6); (b)(7)(C) ansma e h . Ed J (b)(6); (b)(7)(C) ~----------~ Lamine N Diaye, b)(s): (b)(n cc > NYM/Executive Staff, Shirley V. Skipper-Scott 2019/08/13 14:11 Epstein, Jeffrey Edward, Reg. No. 76318-054X Epstein, Jeffrey Edward, Reg. No. 76318-054X.docx Page 15842

Page 2540 Fwd: MCC Visit Thursday From To Date Subject: 2019/08/13 16:24 Fwd: MCC Visit Thursday Attachments: TEXT.htm Please ensure your area is presentable and all cells are clean. Thank you > > rb)(6): (b)(7)(C) Warden, 18/13/2019 3:28 PM>>> Per our discussion, please see t he below request for a tour of t he SHU and suicide watch areas by the US Attorney and his staff Thursday, August 15. I will try to arrange it for 10 am, but we may be subject to the US Attorney's schedule. Please let me know if you have any questions or concerns. Thank you, r )(6); (b)(7)(C) r )(6); (b)(7)(C) Supervisory Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, New York 10007 p: (646)836 (b}(S); (b)(7)(C f: (646)836-7665 ~ >.,....>,,..,.>,,J,(,...b)(,...S);-(b-)(7 ... )(C_; ____ _,(USANYS)" ~r:_r 6_);(b-)(?-)(-C)[email protected]> 8/13/2019 2:05 PM > > > (b)(6); (b)(7)(C) The list of visitors from our office is below: (b)(G): (b)(?;(C) As discussed, we would like to see the 2nd floor pscyh observation and suicide watch area; the 9th floor SHU, and Epstein's cell, which we understand to still be cordoned off. As discussed, we would appreciate if only MCC legal would escort us, and we will not speak to any of the guards present given the ongoing investigations. Please give me a call with any questions, and let us know what time and IAlhPrP IAJP c:hn1 ilrl an :::mrl if it 1A1n1 ilrl hP P::ic:iPr fnr 11c: tn PntPr 1/i::1 thP ~rd flnnr hrirlaP Page 15868

Page 2541 V1', 1"-1"- ••- oJI I .__,_ Q'-'J "-Atl'-'41 I I, ... ••--•- -- -'-"o.Jl"-1 l'-'1 YoJ """-' .,_11\.\,..1 Yf'l,.,II II.I I"- - 11'-'.._, 1 -• •-o-• Thanks, r b)(6); (b}(7)(C) Assistant United States Attorney Southern District of New York Tel: (212) 63 'b)(s); (bJ<ncc J Page 15869

Page 2542 Medical Record request for Inmate Jeffrey Epstein, Reg. No. 76318-054 07/02/19 - 07/30/19 From To Date 2019/07/30 15:34 Subject: Medical Record request for Inmate Jeffrey Epstein, Reg. No. 7 6318- 054 07/02/19 - 07/30/19 Attachments: TEXT.htm, PrintChartGetReport.faces.pdf Please see attached. Thank You!! l (b)(6); (b}(7)(C) ~ ._ ______ _,._egal Assistant CLC New York Metropolitan Correctional Center 150 Park Row New York,,,.._._ ..................... ~ (b)(6); (b)(7)(C ) (P) 646-83 .__ __ _, (F) 646-836-7665 Page 15982

Page 2543 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Provider: r )(G}; (b)(7)(C) ~ D Reg#: 76318-054 Facility: NYM Encounter Date: 07/30/2019 11 :12 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: ..... l(b-)(G-); 1_bi(-?)(-C) ___ __,~ D Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. Unit: Z01 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 HOF 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 HASS EEN HERE SINCE HE DIE NOT HAVE ACCESS THI 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): Endocrine/Lipid, Orthopedic/Rheumatology, Pulmonary/Respiratory OBJECTIVE: Pulse: Date. Time 07/30/2019 13:02 Rate Per Minute Location Rhythm Provider 07/30/2019 09:40 07/30/2019 09 :30 Respirations: Q.am 07/30/2019 Blood Pressure: Time 09:30 NYM Q.am Time YalY.e. 07/30/2019 13:02 NYM 114/84 07/30/2019 09:40 NYM 125/60 07/30/2019 09:30 NYM 108/86 SaO2: 94 88 87 Via Machine Via Machine b)(6); (b)(7)(C) Rate Per Minute ,=:P~ro:::,v:;:;;id~e~r~----, 12 r )(6); (b)(7)(C) i MD Loi:.alion Po~ilion Cuff Size Provider Left Arm Standing (b)(6); (b)(7)(C) Right Arm Standing Left Arm Sitting Date 07/30/2019 Time Value(%) Air Provider 09:30 NYM 98 Room Air ..... l(b)-(6)-; (b-)(7-)(C- ) -----'~ D Weight: Date Lbs Kg_ Waist Circum. Provider G e ne rated 07/3 0/2019 14 :05 b1 (b)(6); (b)(7)(C) Burea u of Prisons - NYM MD MD MD MD MD MD P age 1 of 3

Page 2544 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 11 :12 Provider: l(b/(5); (b:(?)(C) I MD Date Time Kg Waist Circum. Provider Reg#: 76318-054 Facility: NYM Unit: Z01 07/30/2019 09:30 NYM Lbs 194.2 88.1 ~rb)-(6-,; <_b)(-7){-C)---~1MD 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 Ill 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 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: Rx# Medication Order Date Generated 07/30/2019 14:05 b ~ (b)(B); (b)(?)(C) Bureau of Prisons - NYM Prescriber Order Page 2 of 3

Page 2545 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg#: 76318-054 Facility: NYM Encounter Date: 07/30/2019 11 :12 Provider: (b)(SJ; (bJ(?)(CJ MD Unit: Z01 New Medication Orders: Rx# Medication Magnesium Hydroxide Susp cone 800 MG/5ML Indication: Constipation, unspecified INsulin REG - Human Indication: Prediabetes Renew Medication Orders: Rx# Medication 121836-NYM methylPREDNISolone 4 MG Tab ( 21 count Pack) Order Date 07/30/2019 11:12 07/30/2019 11 :1 2 Order Date 07/30/20191 1:12 Indication: Neuralgia and neuritis, unspecified New Laboratory Requests: 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) Details Lab Tests - Short List-General-CBC w/diff Lab Tests-P-PSA, Total Frequency One Time Due Date 08/01/2019 00:00 Priority Routine Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic New Radiology Request Orders: Details Frequency End Date Due Date Priority General Radiology-Spine / Cervical- One Time 08/29/2019 Routine General Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUIMBNESS FOR 2-3 MINUTES 3 DAYS AGO. PLEASE PERFORM C SPINE SERIES Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format 07/30/2019 Counseling 07/30/2019 Counseling Copay Required: No Telephone/Verbal Order: No Handout/Topic Access to Care Plan of Care Cosign Required: No Completed b~ .... 'b_it5_);(_b)(7_ >_lc_> ___ _.IMD on 07/30/2019 14:05 Generated 07/30/2019 14:05 b j(bJ<S): (b/(7J(C) Bureau of Prisons - NYM Provider b)(6); (b)(7)(C) Outcome Verbalizes Understanding Verbalizes Understanding Page 3 of 3

Page 2546 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 20:25 Bureau of Prisons Health Services Clinical Encounter Sex: M Race: WHITE Provider: l.blt5>: Cb)C7)cc> IRN Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Providerr :c6\; Cb)[?i\Cl IRN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Reg#: 76318-054 Facility: NYM Unit: H01 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: ~ Time 07/28/2019 20:28 Respirations: Time Rate Per Minute 81 Location Date 07/28/2019 20:28 NYM Rate Per Minute Provider 141(b)(6); (b)(7)(C) Blood Pressure: Date Time 07/28/2019 20:28 NYM SaO2: ~ Time Value 157/91 Location Position Rhythm Provider .... r_ )(6-);(-b)(7 _ )_(C-) __ __.1 RN Cuff Size Provider .... r_ )(6-); {-b)(-7)(-C)--~1 RN Provider 07/28/2019 20:28 NYM Value(%) Air 98 .... f b)-(5-i; (-b)(7 _ )(_c _> -~lph 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 b~"'"(b=)rs,.., ); c=b)(=7)c=c )---,IRN Bureau of Prisons - NYM Page 1 of 2

Page 2547 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 20:25 Follow-up in 12-24 Hours Patient Education Topics: Date Initiated Format 07/28/2019 Counseling Copay Required: No Telephone/Verbal Order: No Sex: M Race: WHITE Provider: f b)(5) (b)(7;(c > IRN Handoutaopic Plan of Care Cosign Required: Yes Completed b (bl(5); (b)(7)(C) RN on 07/28/2019 20:30 Requested to be cosigned by :b>(5>; (bi(7)tc> MD. Cosign documentation will be displayed on the following page. Generated 07/28/2019 20:30 byr b)(5): (b;(7)(C) Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: H01 Provider r )(6); (b)(7)(C) Outcome Verbalizes Understanding Page 2 of 2

Page 2548 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01 /20/1953 Sex: M Encounter Date: 07/28/2019 20:25 Provider: b)(6); (b)(7)(C) Cosigned b~ .... :bX- 5 >_: (b- lC- 7 ><_c) ___ ____.IMD on 07/28/2019 20:50. Bureau of Prisons - NYM Reg#: Race: RN Facility: 76318-054 WHITE NYM

Page 2549 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 06:51 Bureau of Prisons Health Services Clinical Encounter Sex: M Race: WHITE Provider: blC5l: (b)C7>cc > RN Nursing - Triage Note encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: lfbJcs> fbPJcc J IRN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Reg#: 76318-054 Facility: NYM Unit: H01 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: M.e. I.i.m.e. 07/28/2019 06:57 Respirations: Date 07/28/2019 Blood Pressure: Time Rate Per Minute 82 Location 06:57 NYM Rate Per Minute Provider 14 r )(6): (b)(7)(C) Rhythm Provider ..... rb)(- 6-); ,_b)•:-7){-C)--~ 1 RN Date Time Value Location Position Cuff Size Provider 07/28/2019 06:57 NYM 138/80 ..... rb)-(6-); ,_b)(7- )(-C) __ __,1 RN SaO2: M.e. Time Provider 07/28/2019 06:57 NYM Value(%) Air 98 ..... l(b-)(6-); <_b)-(7)-(C_) __ ____.I 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 07/28/2019 07:22 b ~"'" cb=icG,...., ); C,..,... bl(=7lt=c >----,f N Bureau of Prisons - NYM Page 1 of 3

Page 2550 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/28/2019 06:51 Provider: r )(6); (b)(7)(C) I RN 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 Wrist/Hand/Fingers Yes: Full Range of Motion R, Non-Tender on Palpation R, Swelling R Reg#: 76318-054 Facility: NYM Unit: H01 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 C/O 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 PEARLA. 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 07/28/2019 Counseling Generated 07/28/2019 07:22 b ~ (b)(5): (b)(7)(C) Handout/Topic Plan of Care Bureau of Prisons - NYM Provider (b)(6) (b)(7)(C) h Outcome Verbalizes Understanding Page 2 of 3

Page 2551 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 06:51 Date Initiated Format Copay Required: No Telephone/Verbal Order: No Sex: M Race: WHITE Provider: l(b)(5I: (o)(7/(C> I RN Handout/Topic Cosign Required: Yes Completed by co)<5>: (bl(7)cc> RN on 07/28/2019 07:22 Requested to be cosigned by (bl(5\;(b)Cncc> MD. Cosign documentation will be displayed on the following page. Generated 07/28/2019 07:22 b~(b)(5); (b)(7)(C) Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: H01 Provider Outcome Page 3 of 3

Page 2552 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01 /20/1953 Sex: M Encounter Date: 07/28/2019 06:51 Provider: ~rb,..., )(S.,... ); ,~b)(=7)=(C)~--~IRN Cosigned b~ .... :bi_r5>_;rb_H7- )cc_> ___ ___.IMD on 07/28/2019 20:51. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM

Page 2553 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: EPSTEIN, JEFFREY EDWARD 01/20/1 953 Sex: M Bace-WHIIF Provider: r6); lo)(?)(C) ~ D Note Date: 07/26/2019 08:57 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider~lb)(6); (b)(7)(c ; 'b)(7)(A) New Medication Orders: Rx# Medication Docusate Sodium Capsule Indication: Constipation, unspecified Copay Required: No TelephoneNerbal Order: No Cosign Required: No Completed by! .... 'b)_(6_H _bi17_i_,cl ___ __.lMD on 07/26/2019 08:58 Order Date 07/26/2019 08:57 Generated 07/26/2019 08:58 byfblt6i; (b)(?)(C) Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Prescriber Order TAKE ONE 100 MG CAP Orally - Two Times a Day x 180 day(s) Page 1 of 1

Page 2554 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: EPSTEIN, JEFFREY EDWARD 01/20/1 953 Sex: M Bace-WHIIE Note Date: 07/24/2019 16:10 Provider: l(bX5>; (bX7iCC> ~ D Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 (b)(7)(Al Copay Required: No Telephone/Verbal Order: Completed b 'bl<5>: (b){7)(c> Generated 07/24/201916:12 b f bl(5); (b)(7)(C) Provider: ·b:(5); (b)(?Jcc i D Cosign Required: No ~ 24/2019 16:12 (9~ ~ Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 1 of 1

Page 2555 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: Note Date: EPSTEIN, JEFFREY EDWARD 01/20/1 953 07/24/2019 16:10 Sex: M Race:WHITE Provider: f0lC5l;<olC7)cc> I MD Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 ,b)(7)(A) Copay Required: No Telephone/Verbal Order: Provider: ·o)(5); <oJc7>(c ) D Cosign Required: No Completed by=bl:cs)=; co=)(:nc:c)=====:::•.._.~24/2019 16:12 (9~ ~ Generated 07/24/2019 16:12 byl(b)(6); <b)(7)(C) Bureau of Prisons - NYM Reg#: Facility: Unit: 76318-054 NYM H01 Page 1 of 1

Page 2556 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/26/2019 08:57 Amendment made to this note by .... f bl-(5-);<b- )(7- )(c _ ) ___ _.I MD on 07/26/2019 08:58. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM

Page 2557 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: Note Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 07/24/2019 15:10 Sex: M Race:WHITE Provider: f b>t5J; (b:mrq fiAD Admin Note - General Administrative Note encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: f b)(G); (b)(7)(C) ~ D Reg#: Facility: Unit: 76318-054 NYM H01 PATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALUATION. HE REFUSED. REFUSAL FORM SIGNED. Copay Required: No Telephone/Verbal Order: No Cosign Required: No Completed b~ ..... bl_c 6 >_; <b_)(7_)(_c ) ___ __,IMD on 07/24/2019 15:17 Generated 07/24/2019 15:17 b~(bi(6); (b)(7)(C) Bureau of Prisons - NYM Page 1 of 1

Page 2558 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/24/2019 13:08 Provider: (b)(SJ; (b)(?)(C> MLP Mid Level Provider - Follow up Visit encounter performed at Receiving & Discharge. SUBJECTIVE: COMPLAINT 1 Provider:l(b)(SJ: (bl(7>tC> ~ LP Chief Complaint: Other Problem Subjective: Pain: OBJECTIVE: Temperature: .D.il1.e. 07/24/2019 Pulse: 0 Time 13:12 NYM .D.il1.e. Time 07/24/2019 13:12 Blood Pressure: Fahrenheit 97.8 Celsius Location 36.6 Oral Rate Per Minute 83 Location Via Machine Date Time Value Provider b)(6); (b)(7)(C) Rhythm Regular Cuff Size Reg#: 76318-054 Facility: NYM Unit: H01 MLP Provider (b)(6); (b)(7)(C) Provider MLP 07/24/2019 13:12 NYM 132/89 Location Right Arm Position Sitting Adult-regular f b)(s >: (b)(7,(c > IMLP SaO2: .D.il1.e. Time Value(%) Air 07/24/2019 Exam: General Affect 13:12 NYM Yes: Cooperative Appearance 96 Room Air 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. b)(7)(A) ASSESSMENT: Injury, unspecified, T1490 - Current PLAN: Disposition: Provider 'b)(G); (b)(7)(C) Generated 07/24/2019 13:24 b ~(b)(S); (b)(7)(C) IMLP Bureau of Prisons - NYM MLP Page 1 of 2

Page 2559 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: ,.J.JU,.- 1,-li,Ll=...· WHITE Encounter Date: 07/24/2019 13:08 Provider: MLP Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format 07/24/2019 Counseling 07/24/2019 Counseling Copay Required:No Telephone/Verbal Order: No Handoutaopic Access to Care Preventive Health Cosign Required: Yes Completed by[b)(Gl;(b)(7)(c> IMLP on 07/24/2019 13:24 Requested to be cosigned byr }(G);(b)(?)(C) ~ D. Cosign documentation will be displayed on the following page. Generated 07/24/2019 13:24 b (b)(G); (b)(?)(C) MLP Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: H01 Provider (b)(6); (b)(7)(C) Outcome Verbalizes Understanding Verbalizes Understanding Page 2 of 2

Page 2560 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01 /20/1953 Sex: ""'M~~~~ Encounter Date: 07/24/2019 13:08 Provider: r s); (b)(?)(C) ~ LP Cosigned with New Encounter Note b~ .... (b-)(5_): (-bJa_H_c > ___ ____.~ D on 07/24/2019 16:10. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM

Page 2561 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/23/2019 06:20 Bureau of Prisons Health Services Clinical Encounter Sex: M Race: WHITE Provider: Cb)<5); <b)l7)cc> MLP Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: f b)C6>; lblCl )(cJ ~LP Reg#: 76318-054 Facility: NYM Unit: H01 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: o Pain Qualities: Where Did Injury Happen (Be specific as to location): Special Housing Unit 205-Cell 124 L Cause of Injury (Inmate's Statement of how injury occurred): r }(7)(A) Symptoms (as reported by inmate): None OBJECTIVE: Temperature: ~ 07/23/2019 Pulse: Time 06:30 NYM Fahrenheit 97.5 Celsius Location 36.4 Oral Provider (b)(6); (b)(7)(C) MLP Rhythm Provider ~ Time 07/23/2019 06:30 Rate Per Minute 92 Location Via Machine Regular r )(G) (b)(7)(C) I MLP Respirations: .om.e. Time Rate Per Minute Provider 07/23/2019 06:30 NYM 16 r b)(6); (b)(7 )(C) IMLP Blood Pressure: Date Time Value Cuff Size Provider 07/23/2019 06:30 NYM 140/85 Location Right Arm Position Sitting Adult-regular :b)CS>; (b)(7Jtc> Sa02: ~ 07/23/2019 Exam: General Affect Time Value(%) Air 06:30 NYM 96 Room Air Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Provider ,b)(6); (b)(7)(C) LP MLP No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, Generated 07/23/2019 09:05 b 'bXG); (b)(li(Cl MLP Bureau of Prisons - NYM Page 1 of 2

Page 2562 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/23/2019 06:20 Exam: Acutely Ill Pulmonary Auscultation Sex: M Race: WHITE Provider: l(bJ(6): (b)(7)(c) I MLP Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing Exam Comments b)(7:(A) 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 07/23/2019 Counseling 07/23/2019 Counseling Copay Required: No Telephone/Verbal Order: No Handoutaopic Access to Care Plan of Care Cosign Required: Yes Completed byrb)(5); (b)(?)(C) IMLP on 07/23/2019 09:05 Requested to be cosigned b~(b)CG);(b,mcc> ~ MD. Cosign documentation will be displayed on the following page. 'b)(6); (b)(7)(C) Generated 07/23/2019 09:05 LP Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: H01 Pr vi r (b)(6); (b)(7)(C) Outcome Verbalizes Understanding Verbalizes Understanding Page 2 of 2

Page 2563 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01 /20/1953 Sex: M Encounter Date: 07/23/2019 06:20 Provider: 'b)(6); (b)(7)(C) Cosigned b~ .... b)-(G-): (-b)<- 7 ><-c > ___ __.IMD on 07/23/201915:44. Bureau of Prisons - NYM Reg#: Race: MLP Facility: 76318-054 WHITE NYM