a 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: 7 Sete rere eet enamel SR ene ee oe ere The following treatment(s) was/were recommended: ee) 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 accépt treatment: EE I a oO . ! 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. -24-2019 Date Patient's Sign Date ee — t CONFIDENTIAL SDNY_00009374 EFTA00139318

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BP-S358.060 _ MEDICAL TREATMENT REFUSAL COFRM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Sl 7-10-2019 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: The following treatment(s) was/were recommended: 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: | 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. 7-10-2019 ( \ VA4 Date Patios Signature = Date “T- |o- 1% Signature of Witness Date NYM-NEW YORK MCC CONFIDENTIAL SDNY_00009375 EFTA00139319

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P 58.060 Sep os MEDICAL TREATMENT REFUSAL COFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS an 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: The following treatment(s) was/were recommended: 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: | 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. 7-24-2019 Counseled by Date NYM--NEW YORK MCC CONFIDENTIAL SDNY_00009376 EFTA00139320

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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 Dentist Signature: Jel hie & Institution: Date: Signature Block/Stamp: MCC NEW YORK T-26-19. . Off ief Denta MCC New York POF Prescribed by P6400 Replaces BP-A0618 of JUN 10 SDNY_00009377 EFTA00139321

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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 (Approval valid 18 months from examination date) DeFhrey & Registiir Number: Institution: Date: : Signature Block/Stamp: TL 3 Ie OS |MCC NEW YoRK F-26-19. POF Prescribed by P6400 Replaces BP-A0618 of JUN 10 SDNY_00009378 EFTA00139322

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econ. 060 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: The following treatment(s) was/were recommended: 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: | | 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. 7-24-2019 wa ; ounseled by Date Patent's Signatérs Date a a CONFIDENTIAL SDNY_00009379 EFTA00139323

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U.S. Medical Center for Federal Prisons ge Federal & Bureau 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} Reported 07/10/2019 14:46 Sex M LIS ID 188191004 HIV FLAG LEGEND L=Low LI!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 3 of 3 CONFIDENTIAL SDNY_00009380 EFTA00139324

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Bureau of Prisons Health Services Cosign/Review Inmate Name; EPSTEIN, JEFFREY EOWARD 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 : # «C«f 07/14/2019 18:12. Bureau of Prisons - NYM CONFIDENTIAL SDNY_00009381 EFTA00139325

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} t ! t etree MEDICAL TREATMENT REFUSAL COFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS i SS SS } 7-24-2019 i Date 1, JEFFREY EPSTEIN 76318-054 __, refuse treatment recommended by the Federal DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: Po ‘ Bureau of Prisons Medical staff for the following condition(s): | H The following treatment(s) was/were recommended: 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: a9: eee Rene sey” «+ | understand the possible consequences and/or complications, listed above, and still refuse i 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. 7-24-2019 a epee magnets Nee go Counseled by NYM--NEW YORK MCC CONFIDENTIAL SDNY_00009382 EFTA00139326

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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 Instructed how to obtain urgent and non-urgent dental care: Yes: 7 No: Treatment Priorities: Non-urgent Urgent: Referred to Sick Call: non-urgent Radiographs authorized: . Prophylaxis authorized: Yes v No (Approval valid 18 months from examination date) Patient Name: tig Regi tir Number. Institution: Date: sas =e _ 7b 31% OS |MCc NEW YorRK T-26-19. | POF Prescribed by P6400 Replaces BP-A0618 of JUN 10 SDNY_00009383 EFTA00139327

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nee MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS i 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: » pg e-+ seer NENT TEN Optus Smee one, ementrenee”: The following treatment(s) was/were recommended: 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: 20 Sp nay era OT: | 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 expr i ns. 7-24-2019 NYM—NEW YORK MCC Counseled | . CONFIDENTIAL SDNY_00009384 EFTA00139328

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BP-S958.060 MEDICAL TREATMENT REFUSAL COFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 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: The following treatment(s) was/were recommended: 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: | 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. 7-10-2019 ( \ Za P. Date Counseledby . Date atie eeSionature “I+ lo -(¢% Date NYM-—NEW YORK MCC Signature of Witness CONFIDENTIAL SDNY_00009385 EFTA00139329

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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 Prophylaxis authorized: Yes ¥ No (Approval valid 18 months from examination date) POF Prescribed by P6400 Replaces BP-A0618 of JUN 10 SDNY_00009386 EFTA00139330

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 08/10/2019 07:25 Sex: Provider: Reg #: 76318-054 Facility: NYM Emergency Code - Resuscitation Event encounter performed at Special Housing Unit. SUBJECTIVE: Team Members: Provider Code Events: Type CPR EKG/Monitor No shock advised CPR Oxygen IV Access 18 g Left AC Airway Value Compressions Lifepak Compressions 15L Peripheral IV Endotracheal Tube Role Team/Code Leader ET Tube 7.5 24CM to L Lip line Placed by Paramedics Medications Epinephrine 1mg IV Date 08/10/2019 06:35 08/10/2019 06:39 08/10/2019 06:40 08/10/2019 06:47 08/10/2019 06:48 08/10/2019 07:08 08/10/2019 07:10 Epinephrine 3 doses and Sodium bicarb 2 doses administered by paramedics CPR Medications IV Fluids Medications CPR Medications Medications CPR Comments: Compressions Sodium Bicarbonate 1 mEa/kg IV Normal Saline 0.9% 1000 mi Epinephrine 1mg IV Compressions Sodium Bicarbonate 1 mEa/kg IV Epinephrine 1mg IV Compressions 08/10/2019 07:11 08/10/2019 07:11 08/10/2019 07:12 08/10/2019 07:13 08/10/2019 07:14 08/10/2019 07:14 08/10/2019 07:16 08/10/2019 07:17 Responded to a body alarm at 0635 for medical emergency on 9S, Upon arrival Inmate was received on the floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential Bruising around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses, Call place for EMS, CPR Continued, AED Placed No shock advised, CPR Continued, inmate transported to HSU treatment room with CPR in progress, 18g hep lock to LAC, O02 15 Lt ViA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Placed on cardiac monitor asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, Pulse Check asystole, Inmate was transported to Local ER with CPR in progress. OBJECTIVE: Exam: General Appearance Yes: Unconscious Generated 08/10/2019 08:10 by CONFIDENTIAL Bureau of Prisons - NYM Page 1 of 2 SDNY_00009387 EFTA00139331

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: . Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: Unit: 204 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Consultation/Procedure Target Date Scheduled Target Date Priority Translator Language Emergency Room 08/10/2019 08/10/2019 Emergent No Subtype: AMBULANCE Reason for Request: ’ Cardiac arrest with CPR in progress Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed b 08/10/2019 08:10 Requested to be cosigned by Cosign documentation will be displayed on the following page. Generated 02/10/2019 08:10 by Bureau of Prisons - NYM Page 2 of 2 CONFIDENTIAL SDNY_00009388 EFTA00139332

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: 4 Facility: NYM Encounter Date: 07/30/2019 15:58 Provider: Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: CONFIDENTIAL SDNY_00009389 EFTA00139333

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: 4 Facility; NYM Encounter Date: 07/30/2019 15:58 Provider: Unit: Z01 Generated 07/30/2019 16:12 by FY Bureau of Prisons - NYM Page 2 of 2 CONFIDENTIAL SDNY_00009390 EFTA00139334

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Bureau of Prisons Health Services Clinical Encounter Name: EPSTEIN, F NARD Birth: O 1 ter Date ‘ CONFIDENTIAL SDNY_00009381 EFTA00139335

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NYM 201 CONFIDENTIAL SDNY_00009392 EFTA00139336

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Name: €E TEIN, JEFFRE of Birth Ss Race Facility: NYM CONFIDENTIAL SDNY_00009393 EFTA00139337

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Inmat Date CONFIDENTIAL Bureau of Prisons Health Services Clinical Encounter # 76318-054 Facility: NYM Unit Z01 SDNY_00009394 EFTA00139338

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Reg # WHITE Facility: NY Provider Unit Z01 CONFIDENTIAL SDNY_00009395 EFTA00139339

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eName: EPSTEIN Birth 01/20/1§ Date 019 11:12 CONFIDENTIAL SDNY_00009396 EFTA00139340

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Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 15:58 Facility: NYM Amendment made to this note by EE on 07/30/2019 16:12. Bureau of Prisons - NYM CONF | DENTIAL SDNY_00009397 EFTA00139341