Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Vision Screen on 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 OS: 20/70 OU: Near Vision: OD: Os: OU: With Corrective Distance Vision: OD: Os: OU: Near Vision: OD: os: OU: Present Glasses - Distance Refraction - Distance Sphere Cylinder Axis Add Sphere Cylinder = Axis Add R: R: L: L: Color Test: Tonometry: R: i: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST [J uve Generated 08/10/2019 11:02 by Bureau of Prisons - NYM Page 1 of 1 CONFIDENTIAL SDNY_00009458 EFTA00033843

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Bureau of Prisons Health Services Immunizations Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Immunization Immunization Date § Administered Location Dosage Drug Mfg. Lot # Exp Date Hepatitis A and B (TwinRx) History Unknown Orig Entered: 07/09/2019 12:51 EST J wie Measles/Mumps/Rubella Series History Unknown Orig Entered: 07/09/2019 12:51 EST [I wie Smallpox Series History Unknown Orig Entered: 07/09/2019 12:51 EST [J vce Tetanus History Unknown Orig Entered: 07/09/2019 12:51 EST J wie Varicella Series History Unknown Orig Entered: 07/09/2019 12:51 EST [wc Total: 5 Generated 08/10/2019 11:02 by A RN/OP/OC Bureau of Prisons - NYM Page 1 of 1 CONFIDENTIAL SDNY_00009459 EFTA00033844

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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 __pillline ___ treatments Exp. ___ on complete bed rest: ___bathroom privileges only Exp. Xcel: __cellon first floor __ single cell X lower bunk _ airborne infection isolation Exp. ___ other: - Exp. Physical Limitation/Restriction Date: Date: Date: Date: ___10/09/2019 Return Date__ __ all sports Exp. Date: ___ weightlifting: _ upperbody __lower body 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 StartDate sss End Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes _X_No Restrictions Comments: N/A 07/30/2019 Health Services Staff Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by Bureau of Prisons - NYM CONFIDENTIAL Page 1 of 1 SDNY_00009460 EFTA00033845

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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 __pPillline ___treatments Exp. Date: _ ___ on complete bed rest: __ bathroom privileges only Exp. Date: 7 _ Xcell: _ _cellon first floor single cell X lower bunk _ airborne infection isolation Exp. Date: __10/09/2019 ___ other: Exp. Date: Physical Limitation/Restriction __ all sports Exp. Date: ___ weightlifting: — upperbody __lower body Exp. Date: ___ cardiovascular exercise: __ running __ jogging __ walking ___ softball Exp. Date: __ football __ basketball handball ___ stationary equipment __ other: ee Exp. Date: May have the following equipment in his / her possession: Work Restriction / Limitation: Cleared for Food Service: Yes X_No Restrictions Comments: N/A MLP 07/09/2019 Health Services Staff Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 — Quarters: __—-Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by Jy Bureau of Prisons - NYM Page 1 of1 CONFIDENTIAL SDNY_00009461 EFTA00033846

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Bureau of Prisons Health Services Medication Summary Historical Complex: NYM--NEW YORK MCC Begin Date: 07/07/2019 End Date: 08/10/2019 Inmate: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 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: J. vp Start: 07/09/19 Exp: 07/19/19 DIC: 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: 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: Start: 07/26/19 Exp: 01/22/20 Pharmacy Dispensings: 30 CAP in 15 days Milk of Magnesia Susp (OTC) (473ML) 400MG/S5ML shake well take 2 tablespoonful twice daily by mouth Rx: 121835-NYM Doctor: Start: 07/12/19 Exp: 07/14/19 Pharmacy Dispensings: 473 ML in 29 days Milk of Magnesia Susp (OTC) (473ML) 400MG/SML shake well take 10m! by mouth twice daily AS NEEDED Rx#: 122150-NYM Doctor: Start: 07/30/19 Exp: 10/28/19 Pharmacy Dispensings: 473 ML in 11 days methylIPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rx#: 121836-NYM Doctor: Start: 07/12/19 Exp: 07/18/19 Pharmacy Dispensings: 21 tab in 29 days methyIPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rx: 122149-NYM Doctor: [ Start: 07/30/19 Exp: 08/05/19 Pharmacy Dispensings: 21 tab in 11 days Generated 08/10/2019 11:02 by NE Bureau of Prisons - NYM Page 1 of 2 CONFIDENTIAL SDNY_00009462 EFTA00033847

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Complex: NYM--NEW YORK MCC Begin Date: 07/07/2019 End Date: 08/10/2019 Inmate: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarter: Z04-206LAD Active Prescriptions Omega 3 (Vascepa) 1 GM Capsule Take two capsules (2 GM) twice daily by mouth with food Rx#: 121885-NYM Doctor: Start: 07/17/19 Exp: 01/13/20 Pharmacy Dispensings: 180 Cap in 24 days Insulin Reg (10 ML) 100 UNITS/ML Inj Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days ***pill line Rx#: 122148-NYM Doctor: Start: 07/30/19 Exp: 08/06/19 D/C: 07/31/19 Pharmacy Dispensings: 0 ML in 11 days Insulin Reg (10 ML) 100 UNITS/ML Inj Inject regular insulin subcutaneously per sliding scale: each morning for 7 days ***pill line*** ***pill line*** Rx#: 122160-NYM Doctor: Start: 07/31/19 Exp: 08/07/19 Pharmacy Dispensings: 0 ML in 10 days Generated 06/10/2019 11:02 by Bureau of Prisons - NYM Page 2 of 2 CON Fl DENTIAL SDNY_00009463 EFTA00033848

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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 Facility; NYM Encounter Date: 07/26/2019 07:54 Provider: [Moos unit! 01 ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems Health Problem Status Hyperlipidemia, unspecified Current HYPERTRIGLYCERIDEMIA Sleep apnea * Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Injury, unspecified Current R/O self inflicted injuries. Medical History as of Dental Health History Encounter date: 07/26/2019 07:54 Medical History: Allergies: Denied Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CD4; Comments: Hepatitis: Denied Generated 07/26/2019 07:59 by EEE OOS Bureau of Prisons - NYM Page tof 3 CONFIDENTIAL SDNY_00009464 EFTA00033849

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg # 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider: [MMos unit: 01 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 Other Health Issues: 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: Methamphetamine: Tobacco products: Other drugs: Sensitive teeth: Bleeding gums: Food impaction: Pain around ear: Toothache: Wear partial dentures: Unusual sounds while eating: Snoring: Blisters on lips or mouth: Clenching or grinding: Swelling or lumps in mouth/throat: Burning tongue: Bad breath: Decayed teeth: Loose teeth: Wear dentures: SEFC FEF ESFFEFFTEFE FF FFES None: Comments: Generated 07/26/2019 07:59 by EE OOS Bureau of Prisons - NYM Page 2 of 3 CONFIDENTIAL SDNY_00009465 EFTA00033850

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M WHI Facility: NYM Encounter Date: 07/26/2019 07:54 Provider: EE 00s Unit: HO1 Cardiac Condition Requiring Prophylaxis: Prosthetic joint(s): Radiation history of head or neck: Excessive bleeding: Bisphosphonates: Comments: 555 FE 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 Telephone/Verbal Order: No Completed by EY 00s on 07/26/2019 07:59 Generated 07/26/2019 07:59 by (EE OOS Bureau of Prisons - NYM Page 3 of 3 CONFIDENTIAL SDNY_00009466 EFTA00033851

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Bureau of Prisons Health Services Dental A&O Exam Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: — 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHIT Facility: NYM Encounter Date: 07/26/2019 07:47 Provider: a DDS Unit: HO1 Reviewed Health Status: Yes Occlusion: Class! Oral Hygiene: Fair CPITN: 3 2 3 3 2 3 Hard and soft tissue examination performed and documented on BP618 form: Yes Head & Neck/Soft Tissue within normal limits? No Comments: moderate to advanced upper posterior gingival recession Decayed: Missing: Filled: 0 1 14 Comments: Lower anterior crowding Approved for hygiene appointment and radiographs: Yes Instructed inmate how to obtain routine and emergency dental care. Oral hygiene instructions given: Yes Dental A&O Screening Exam findings entered on EPSTEIN, JEFFREY EDWARD by [EEE DD'S on 07/26/2019 07:47. Generated 07/26/2019 08:00 by EY 00s Bureau of Prisons - NYM Page 1 of 1 CONFIDENTIAL SDNY_00009467 EFTA00033852

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Bureau of Prisons Health Services Dental Soap/Admin Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: © NYM Encounter Date: 07/18/2019 13:48 Provider: [RM Dental Asst unit: 205 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 EY Dental Asst on 07/19/2019 13:49. Generated 07/19/2019 13:49 by EE Dental Bureau of Prisons - NYM Page 1 of 1 CONFIDENTIAL SDNY_00009468 EFTA00033853

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U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 Federal Oe of Prisons 417-874-1621 *** Sensitive But Unclassified *** Name EPSTEIN, JEFFREY Facility MCC New York Collected 07/09/2019 13:34 Reg # 76318-054 Order Unit E06-547U Received 07/10/2019 10:44 DOB 01/20/1953 Provider MD Reported 07/10/2019 14:46 Sex M LIS ID 188191004 CHEMISTRY Sodium 137 137-148 mmol/L Potassium 47 3.5-5.0 mmol/L Chloride 99 99-114 mmol/L co2 27 22-30 mmol/L BUN 17 7-22 mg/dL Creatinine 1.05 0.66-1,25 mg/dL eGFR (IDMS) >60 GFR units measured as mL/min/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 14 0.2-1.3 mg/dL Total Protein 7.3 6.0-8.2 g/dl Albumin 44 3.6-5.1 g/d. 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 LOL 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 mo/dL Chol/HDL Ratio H 6.9 0,0-4.0 HEMATOLOGY WBC 7.6 43-114 Kul NRBC% 0.0 % RBC 5.42 4.46-5.78 MluL 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 Kul FLAG LEGEND _L=Low LI=Low Critical H=High HIsHigh Critical A=Abnormal A! =Abnormal Critical CONFIDENTIAL Page 1 of 3 SDNY_00009469 EFTA00033854

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Ok U.S. Medical Center for Federal Prisons Bureau of 1900 W. Sunshine Street Prisons Springfield, MO 65807 417-874-1621 *** Sensitive But Unclassified *** Name EPSTEIN, JEFFREY Facility MCC New York Collected 07/09/2019 13:34 Reg # 76318-054 Order Unit E06-547U Received 07/10/2019 10:44 DOB 01/20/1953 Provider i. vio Reported 07/10/2019 14:46 Sex _M LIS ID 188191004 MPV 10.4 6.9-10.5 fl Neutrophils % 58.7 % Therapeutic decision making should be based on absolute values, rather than percentages Lymphocytes % 25.0 % Monocytes % 11.1 % Eosinophils % 41 % Basophils % 0.8 % Immature Granulocytes % 0.3 0.0-5.0 % Neutrophils # 44 1,9-6.7 K/uL Lymphocytes # 1.9 1,3-3.7 Kul Monocytes # 08 0.3-1.1 K/uL Eosinophils # 0.3 0.0-0.5 K/uL Basophils # 041 0.0-0.1 K/uL Immature Granulocytes # 0.02 0.00-0.50 1043/uL Hemoglobin A1C H 6.3 <5.7 % 5.7 - 6.4 Increased Risk > 6.4 Diabetes SEROLOGY RPR Non-Reactive Non-Reactive Results may be affected in patients with severely advanced immunosuppression. FLAG LEGEND _L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 2 of 3 CONFIDENTIAL SDNY_00009470 EFTA00033855

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Federal U.S. Medical Center for Federal Prisons Ok of 1900 W. Sunshine Street Prisons Springfield, MO 65807 417-874-1621 *** Sensitive But Unclassified *** Name EPSTEIN, JEFFREY Facility MCC New York Collected 07/09/2019 13:34 Reg # 76318-054 Order Unit E06-547U Received 07/10/2019 10:44 DOB 01/20/1953 Provider i 0 Reported 07/10/2019 14:46 Sex M LISID _ 188191004 HIV 1/2 Negative Negative Screening test - See confirmatory testing for Reactive results FLAG LEGEND | L=Low LI!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 3 of 3 CONFIDENTIAL SDNY_00009471 EFTA00033856

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD 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 EEN on 07/14/2019 18:12. Bureau of Prisons - NYM CONFIDENTIAL SDNY_00009472 EFTA00033857

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+ alee MEDICAL TREATMENT REFUSAL CDFRM Pere = EE ee ee U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date |, 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. teem pee ne | understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. 1 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 7-24-2019 Op Cienpenyemageeee nae Counseled by Signature of Witne$s NYM--NEW YORK MCC CONFIDENTIAL SDNY_00009473 EFTA00033858

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BP-A0618 A&O DENTAL EXAMINATION JUN 16 (Initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS E42 3 4567 8 fo 1011 1219 14 15 16 O22 3 30 20 20 27 26252023 22 2120 19 18 17 FO, b ESE gyi ROSS Later oleve” Crsbin obseved N / Insiructed how to obtain urgent and non-urgent dental care: Yes: WA Treatment Priorities: Non-urgent: Urgent: Referred to Sick Call: i | Radiographs authorized: Prophylaxis authorized: Yes v — (Approval valid 18 months from examination date) Patient Name: SI, in, ~eFyrey & z bps Institution: ature Block/Stamp: 7 3 It ) MCC NEW YORK os McC New York POF Prescribed by P6400 Replaces BP-A0618 of JUN 10 CONFIDENTIAL SDNY_00009474 EFTA00033859