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 EFTA00140222

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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 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 EFTA00140223

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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 EFTA00140224

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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. 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 EFTA00140225

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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 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 EFTA00140226

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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: 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 EFTA00140227

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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 : 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 EFTA00140228

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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 EFTA00140229

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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 EFTA00140230

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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: 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 EFTA00140231

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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: 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 EFTA00140232

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Oe Bureau of Prisons Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 Facility MCC New York Order Unit E06-547U Provider 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 Orr units 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 H 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 29 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 H 216 <200 mg/dL Triglycerides H 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 L 31 40-60 mg/dL ChoV/HDL Ratio H 6.9 0.0-4.0 HEMATOLOGY wesc 76 4.3-11.1 KiuL NRBC% 0.0 % RBC 5.42 4.46-5.78 Mul 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 L 32.6 33.0-37.0 g/dL RDW-CV 128 12.0-14.0 % Platelet 338 130-374 Kul FLAGLEGEND __L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 1 of 3 EFTA00140233

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au of W. Sunshine Street isons Springfield, MO 65807 417-874-1621 Ok U.S. Medical Center for Federal Prisons Prise *** 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 ( ematonogy 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 % 14 % Eosinophils % 41 % Basophils % 0.8 % Immature Granulocytes % 0.3 0.0-5.0 % Neutrophils # 4.4 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 K/ul Basophils # 0.1 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 HI!=High Critical A=Abnormal A! =Abnormal Critical Page 2 of 3 EFTA00140234

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Pedera! 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 £06-547U 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 EFTA00140235

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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 EY m0 on 07/14/2019 18:12. Bureau of Prisons - NYM EFTA00140236

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ep.£368.080 MEDICAL TREATMENT REFUSAL COFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS —_—_—_—_—— 7-24-2019 Date 1, 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. —————eeeeEeeEeEeEeEeEeEeEeEeeeee 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. ee er ree meu apeeyer ens o's | 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 irections. MD___7-24-2019 ceeapeyie npg Nhe teen mx Patient's Sign Date Citi 5 NYM--NEW YORK MCC EFTA00140237

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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 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 Dellrey & _ > Fiasaber Institution: Signatu Te 1 054, |woc NeW vor . Chie! MCC New York POF Prescribed by P6400 Replaces BP-A0618 of JUN 10 EFTA00140238