Reg #: 76318-054 Bureau of Prisons Health Services Vision Screens 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: Present Glasses - Distance Sphere Cylinder Axis R: L: Color Test: Tonometry: R: L Axis OS: 20/70 OU: OS: OU: Os: OU: os: OU: Refraction - Distance Add Sphere Cylinder R: L: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST [uve Generated 08/10/2019 11:02 by Bureau of Prisons - NYM Page 1of 1 EFTA00110421

--=PAGE_BREAK=--

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 Administered Location Dosage Drug Mfg, Hepatitis A and B (TwinRx) History Unknown Orig Entered: 07/09/2019 12:51 EST [I vce Measles/Mumps/Rubella Series History Unknown Orig Entered: 07/09/2019 12:51 EST [vce Smallpox Series History Unknown Orig Entered: 07/09/2019 12:51EST J vce Tetanus History Unknown Orig Entered: 07/09/2019 12:51 EST [I vce Varicella Series History Unknown Orig Entered: 07/09/2019 12:51 EST J vce Total: 5 Generated 08/10/2019 11:02 by EEE RN/IOP/DC Bureau of Prisons - NYM Lot# Page 1 of 1 EFTA00110422

--=PAGE_BREAK=--

Bureau of Prisons Health Services Medical Duty Status _210/09/2019 Return Date Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status ___ confined to the living quarters except __meals __pillline ___treatments Exp. Date: ___ on complete bed rest: ___bathroom privileges only Exp. Date: Xcell: __cellon first floor __single cell _Xlower bunk _ airborne infection isolation Exp. Date: __other; Exp. Date: Physical Limitation/Restriction ___ all sports Exp. Date: __ weightlifting: __upper body __ 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 Start Date 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 MD 07/30/2019 Health Services Staff Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by | Bureau of Prisons - NYM Z04 Page 1 of1 EFTA00110423

--=PAGE_BREAK=--

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. Date: ___ 0n complete bed rest: ___ bathroom privileges only Exp. Date: Xcell: __cellon first floor single cell Xlower bunk _ airbome infection isolation Exp. Date: __ 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: 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 Bureau of Prisons - NYM _10i09/2019__ Page 1 of 1 EFTA00110424

--=PAGE_BREAK=--

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 vie 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: J) mo 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: (mo Start: 07/26/19 Exp: 01/22/20 Pharmacy Dispensings: 30 CAP in 15 days Milk of Magnesia Susp (OTC) (473ML) 400MG/SML shake well take 2 tablespoonful twice daily by mouth Rx#: 121835-NYM Doctor: vo 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 10mi by mouth twice daily AS NEEDED Rx#: 122150-NYM Doctor: mo Start: 07/30/19 Exp: 10/28/19 Pharmacy Dispensings: 473 ML in 11 days methyiIPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rx#: 121836-NYM Doctor: (I) vo 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 Rxi#: 122149-NYM Doctor: [mo Start: 07/30/19 Exp: 08/05/19 Pharmacy Dispensings: 21 tab in 11 days Generated 08/10/2019 11:02 by Bureau of Prisons - NYM Page 1 of 2 EFTA00110425

--=PAGE_BREAK=--

Complex: NYM--NEW YORK MCC Begin Date: 07/07/2019 End Date: 08/10/2019 Inmate: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarter: 2Z04-206LAD Active Prescriptions Omega 3 (Vascepa) 1 GM Capsule Take two capsules (2 GM) twice daily by mouth with food Rx#: 121885-NYM Doctor: J) mo 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: vo 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: J) mo Start: 07/31/19 Exp: 08/07/19 Pharmacy Dispensings: 0 ML in 10 days Generated 08/10/2019 11:02 by Bureau of Prisons - NYM Page 2 of 2 EFTA00110426

--=PAGE_BREAK=--

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 : WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider: DDS Unit: HO1 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 SE OOS Bureau of Prisons - NYM Page 1 of 3 EFTA00110427

--=PAGE_BREAK=--

Inmate Name: EPSTEIN, JEFFREY EOWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider: [RMMJops unit ~—Ho1 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: 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 by (EEE 00S Bureau of Prisons - NYM Page 2 of 3 EFTA00110428

--=PAGE_BREAK=--

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 07:54 Provider: DDS Unit: HO1 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 Telephone/Verbal Order: No Completed by [J ops on 07/26/2019 07:59 Generated 07/26/2019 07:59 by (EEN OOS Bureau of Prisons - NYM Page 3 of 3 EFTA00110429

--=PAGE_BREAK=--

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: WHITE Facility: NYM Encounter Date: 07/26/2019 07:47 Provider: [RJ ops Unit: 01 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 ODS on 07/26/2019 07:47. Generated 07/26/2019 08:00 by EE 00s Bureau of Prisons - NYM Page 1 of 1 EFTA00110430

--=PAGE_BREAK=--

Bureau of Prisons Health Services Dental Soap/Admin Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Date of Birth: 01/20/1953 Sex: Race: WHITE Facility: NYM Encounter Date: 07/18/2019 13:48 Provider: | 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 [EEE Dental Bureau of Prisons - NYM Page tof 1 EFTA00110431

--=PAGE_BREAK=--

Oe Bureau of Prisons Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M Facility MCC New York Order Unit E06-547U Provider *** Sensitive But Unclassified *** Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/2019 14:46 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 ume measured as mL/min/1.73 m2. 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 57 11-55 UL ALT 62 11-66 UL Alkaline Phosphatase 64 41-133 UL 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/dL Globulin 2.9 2.0-3.7 g/dl. Alb/Glob Ratio 1.50 1.00-2.30 Anion Gap 10.2 9.0-19.0 BUN/Creat Ratio 16.1 §.0-30.0 Cholesterol 216 <200 mg/dL Triglycerides 413 10-150 mg/dL Calculation of LDL is not appropriate for samples with a triglyceride greater than 400 mg/dL. Therefore the LDL is not calculated. HDL Cholesterol 31 40-60 mg/dL ChoV/HDL Ratio 6.9 0.0-4.0 HEMATOLOGY wesc 76 4.3-11.1 KiuL NRBC% 0.0 % RBC 5.42 4.46-5.78 Miu Hemoglobin 15.6 13.6-17.6 g/dL Hematocrit 478 40.2-51.4 % MCV 88.2 82.5-96.5 fl MCH 28.8 27.1-34.9 pg MCHC 32.6 33.0-37.0 g/dL RDW-CV 128 12.0-14.0 % Platelet 338 130-374 K/uL FLAGLEGEND __L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 1 of 3 EFTA00110432

--=PAGE_BREAK=--

Ox jureau of Prisons *** 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 % 1141 % 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 K/ul Monocytes # 0.8 0.3-1.1 K/uL Eosinophils # 0.3 0.0-0.5 Kul Basophils # 0.1 0,0-0.1 Kul Immature Granulocytes # 0.02 0.00-0.50 10°3/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. FLAGLEGEND L=Low L!=Low Critical H=High HI!=High Critical A=Abnormal A! =Abnormal Critical Page 2 of 3 EFTA00110433

--=PAGE_BREAK=--

Bureau of Prisons pn *** 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 LISID _ 188191004 HIV 1/2 Negative Negative Screening test - See confirmatory testing for Reactive results FLAG LEGEND _ L=Low L!=Low Critical H=High HI!=High Critical A=Abnormal A! =Abnormal Critical Page 3 of 3 EFTA00110434

--=PAGE_BREAK=--

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 EY m0 on 07/14/2019 18:12. Bureau of Prisons - NYM EFTA00110435

--=PAGE_BREAK=--

ep.£368.080 MEDICAL TREATMENT REFUSAL COFRM 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. ete, CR a ENTE ST PALO LEGS EES ITT 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. | understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. | 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. nets oe ee ere eecunner npeeyer res <'s D 7-24-2019 Counseled by Date Patient's Sign Date NYM--NEW YORK MCC EFTA00110436

--=PAGE_BREAK=--

BP-A0618 A&O DENTAL EXAMINATION JUN 16 (Initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Occlusion: 12,03 456 7 6 8 Wii 1213 4 15 16 =z” 31° 30 20 28 27 2625 2423 22 21 20 19-18 17 mM (ROSS Observed, Lon oe Coon obsenled MCC New York POF Prescribed by P6400 Replaces BP-A0618 of JUN 10 EFTA00110437