Bureau of Prisons Health Services Health Screen Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: [RR PA-c Facility: © NYM Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied Allergies: Denied PPD Administration: Date/Time: 07/06/2019 21:39 Provider: (I PA-c Location: Right Forearm Drug Mfg: Sanofi Pasteur Lot Number: C5474BA Dosage: 0.1mL Route: ID Exp Dt: 10/2020 Comments: Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss: No Fever: No Cough: No Comments: Generated 07/06/2019 21:56 by [J PA-c Bureau of Prisons - NYM Page 1 of 6 EFTA00121308

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/06/2019 21:38 Infectious Disease Risk Factors: IV Drug Use: No IV Drug Use Needles: Sexual Partner IV Drug Use: No Sexual Partner IV Drug Use Needles: Female Sexual Partners (Last 5 Yrs): 10+ Male Sexual Partners (Last 5 Yrs): 0 Condom Use: Sometimes Sexual Contact With HIV+ Individual: No Blood Product Transfusion: No Travel Outside US: Yes Tattoos: No Comments: Born in US High schoo! diploma Banker Sex: M Provider: [RJ PA-c Traveled to Paris x 3 weeks up until arrest No tattoos HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: N/A Genital Warts: No Chlamydia: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other: No Comments: Chlamydia in 2015, treated Chicken pox in childhood Abuse History: Denied Physical: No Emotional: No Sexual: No Comments: Denies Generated 07/06/2019 21:56 by [EN PA-C Bureau of Prisons - NYM 76318-054 WHITE NYM Page 2 of 6 EFTA00121309

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/06/2019 21:38 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: N/A Dental Condition: Denied Generated 07/06/2019 21:56 by [EN PA-C Sex: M Provider: [RR PA-c Bureau of Prisons - NYM Reg #: Race: Facility: 76318-054 WHITE NYM Page 3 of 6 EFTA00121310

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: [RR PA-c Facility: © NYM Observations: Draining Skin Lesions: No Signs of Lice: No Signs of Scabies: No Signs of Recent Trauma: No Recent Tattoos: No Needle Marks: No Signs of Rash: No Open Sores: No Wounds: No Body Deformities: No Tremors: No Sweating: No Comments: Pulse: 07/06/2019 21:43 90 Via Machine HP -c Respirations: 07/06/2019 21:43 NYM 15 I Pa-c Blood Pressure: 07/06/2019 21:45NYM 164/90 — Right Arm Sitting Adult-regular QJ PA-c 07/06/2019 21:43NYM 155/83 Left Arm Sitting Adult-regular EE PA-C SaO2: 07/06/2019 21:43 NYM 95 Room Air EP A-c Height: Date Time Inches Cm = Provider 07/06/2019 21:43 NYM 72.0 182.9 [ER PA-c Weight: 07/06/2019 21:43 NYM 200.0 90.7 HE P-c Prosthetic Devices/Equipment: Denied Potential Items For Follow-up: item Travel Outside US Other Infectious Disease History Comments: | have reviewed 0 pages of intake paperworks Generated 07/06/2019 21:56 by [J PA-c Bureau of Prisons - NYM Page 4 of 6 EFTA00121311

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: [RJ PA-c Facility: © NYM Health Problems Newly Identified During This Encounter: Health Problem Medication Reconciliation. The patient's known medication list including OTC items was compiled and compared to new and changed BOP orders. Reconciled Medications: Source Action Type Rx# Medication Order Detail OTC No known OTCs New Laboratory Requests: Lab Tests-H-Hemoglobin A1C One Time 08/05/2019 00:00 Routine Lab Tests-C-CBC widiff Lab Tests-L-Lipid Profile Lab Tests-C-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic Additional Information: 66 y/o male, elevated BP Labs requested to be reviewed by: a 10 New Non-Medication Orders: Order Frequency Duration Details Ordered By EKG One Time 66 y/o male HE © A-c Order Date: 07/06/2019 Fecal Occult Blood One Time 3 different stools HP A-c Order Date: 07/06/2019 Schedule: Activity Date Scheduled Scheduled Provider Vision Screen 07/06/2019 00:00 Optometrist 66 y/o male PPD Reading 07/08/2019 00:00 Nurse Follow-up 07/09/2019 00:00 Mid-Level Provider BP check Other: BP noticed to be elevated. IM denies Hx of HTN or any significant chronic medical conditions. He is currently asymptomatic and denies any bodily complaints at this time. Will recheck BP in 2-3 days. Disposition: Follow-up at Sick Call as Needed To be Evaluated by Provider Instructed inmate how to obtain medical, dental, and mental health care. Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Generated 07/06/2019 21:56 by [J PA-c Bureau of Prisons - NYM Page 5 of 6 EFTA00121312

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: [RJ PA-c Facility: © NYM Completed by (J PA-C on 07/06/2019 21:56 Requested to be cosigned by [ ip. Cosign documentation will be displayed on the following page. Generated 07/06/2019 21:56 by [J PA-c Bureau of Prisons - NYM Page 6 of 6 EFTA00121313

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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: 07/06/2019 21:38 Provider: [J PA-c Facility: © NYM Cosigned with New Encounter Note by EEE MD on 07/07/2019 00:17. Bureau of Prisons - NYM EFTA00121314