BP-S358.060
SEP 05

# 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:
•
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.

I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I 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 Patient's Signature Date

07/14/19
S NYM-NEW YORK MCC

EFTA00036305

BP-S358.060
SEP 05

# MEDICAL TREATMENT REFUSAL

CDFRM

U.S. DEPARTMENT OF JUSTICE

FEDERAL BUREAU OF PRISONS

7-10-2019
Date

76318-054 , refuse treatment recommended by the Federal

I, JEFFREY EPSTEIN Bureau of Prisons Medical staff for the following condition(s):

DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY:

66 YR OLD MALE WITH NO PMHX, REFERRED FOR ROUITNE CXR.

The following treatment(s) was/were recommended:

CHEST X-RAY

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:

WORSENING THE CONDITION IF THERE IS ANY FINDINGS

I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I 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.

X-RAY 7-10-2019
Counseled by Date

Patient's Signature

Date



7-10-19
Date

NYM-NEW YORK MCC

EFTA00036306

BP-S358.060
SEP 05

# 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:

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.

I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I 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

07/9/19

Date

Patient's Signature

Date

NYM--NEW YORK MCC

EFTA00036307

BP-A0618

JUN 16
U.S. DEPARTMENT OF JUSTICE

# A&O DENTAL EXAMINATION

(Initial Clinical Dental Findings)

FEDERAL BUREAU OF PRISONS

Occlusion:

Oral Hygiene: Good Fair Poor

CPITN:
3 2
WW
3 2 3
Head & Neck/Soft Tissue:
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
RIGHT
32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
Gold D: P Classification:
M: 1 CLI
ΟΣ
F: 14 Pain Scale:

/10

Dental Prostheses at Intake:
[x] No
Type: <empty>
Age: <empty>
Condition: <empty>

Comments: advanced gingival recession observed. Lower anterior crowding observed

Intra-oral Photos Taken:
[ ] Yes
[x] No

Radiographs Taken (Document findings on A&O encounter):
[ ] Yes
[x] No

Instructed how to obtain urgent and non-urgent dental care:
Yes: [x]
No: <empty>

Treatment Priorities:
None: <empty>
Non-urgent: non-urgent
Urgent Referred to Sick Call: <empty>

Radiographs authorized:
PAAs: <empty>
BWs: <empty>
Panorex: <empty>

Prophylaxis authorized:
Yes [x]
No
(Approval valid 18 months from examination date)

Patient Name: Epstein, Jeffrey E
Dentist: <empty> DDS
Register Number: 76318-054
Institution: MCC NEW YORK
Date: 7-26-19.
Signature Block/Stamp: <empty> DDS.

Chief Dental Officer
MCC New York

PDF

Prescribed by P6400

Replaces BP-A0618 of JUN 10

EFTA00036308

BP-A0618

JUN 16
U.S. DEPARTMENT OF JUSTICE

# A&O DENTAL EXAMINATION

(Initial Clinical Dental Findings)

FEDERAL BUREAU OF PRISONS

Occlusion:

Oral Hygiene: Good Fair Poor

CPITN:
3 2 3
लल
3 2 3

Head & Neck/Soft Tissue:
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
RIGHT
32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
Classification:
D:
100 M: 1 CLI
GEN
F: 14 Pain Scale:

/10.

Dental Prostheses at intake:
[x] No
Yes
Type: <empty>
Age: <empty>
Condition: <empty>

Comments: advanced MGD to moderate gingival recession observed. Lower anterior crowding observed

Intra-oral Photos Taken:
[x] No
Yes

Radiographs Taken (Document findings on A&O encounter):
[x] No
Yes

Instructed how to obtain urgent and non-urgent dental care:
Yes: [x]
No: <empty>

Treatment Priorities:
None: <empty>
Non-urgent: non-urgent
Urgent Referred to Sick Call: <empty>

Radiographs authorized:
PAAs: <empty>
BWs: <empty>
Panorex: <empty>

Prophylaxis authorized:
Yes [x]
No
(Approval valid 18 months from examination date)

Patient Name: Epstein, Jeffrey E
Dentist Signature: <signature> DDS
Register Number: 76318-054
Institution: MCC NEW YORK
Date: 7-26-19.
Signature Block/Stamp: <signature> DDS.

Chief Dental Officer
MCC New York

PDF

Prescribed by P6400

Replaces BP-A0618 of JUN 10

1

EFTA00036309

BP-S358.060
SEP 05

# MEDICAL TREATMENT REFUSAL

CDFRM

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.

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.

I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I 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 Patient's Signature Date

07/4/19
Si Date NYM-NEW YORK MCC

EFTA00036310

Federal
Bureau of
Prisons

# U.S. Medical Center for Federal Prisons

1900 W. Sunshine Street

Springfield, MO 65807

417-874-1621

Name EPSTEIN, JEFFREY
Reg # 76318-054
DOB 01/20/1953
Sex M

Facility MCC New York
Order Unit E06-547U
Provider MD

***Sensitive But Unclassified ***

Collected 07/09/2019 13:34
Received 07/10/2019 10:44
Reported 07/10/2019 14:46
LIS ID 188191004

HIV 1/2

HIV

Negative

Negative

Screening test-See confirmatory testing for Reactive results

FLAG LEGEND L=Low L!=Low Critical H-High H!-High Critical A=Abnormal A! =Abnormal Critical

Page 3 of 3

EFTA00036311

# Bureau of Prisons
Health Services
Cosign/Review

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/10/2019 16:58

Sex: M
Provider: Lab Result Receive

Reg #: 76318-054
Race: WHITE
Facility: NYM

Cosigned by

on 07/14/2019 18:12.

Bureau of Prisons - NYM

EFTA00036312

BP-S358.060
SEP 05

# 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:

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.

I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I 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 Patient's Signature Date

07/4/19
Date NYM--NEW YORK MCC

EFTA00036313

BP-A0618

JUN 16
U.S. DEPARTMENT OF JUSTICE

# A&O DENTAL EXAMINATION

(Initial Clinical Dental Findings)

FEDERAL BUREAU OF PRISONS

# A&O DENTAL EXAMINATION (cont.)

RIGHT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
Gold
Gold

Occclusion:
Oral Hygiene:
Good: <empty>
Fair: [x]
Poor: <empty>

CPITN:
Row 1:
Column 1: 3
Column 2: 2
Column 3: 3
Row 2:
Column 1: 3
Column 2: 2
Column 3: 3

Head & Neck / Soft Tissue:
D: 0
M: 1
F: 14
Classification: CL I
Pain Scale: /10

Dental Prostheses at Intake:
[x] No
Type: <empty>
Age: <empty>
Condition: <empty>

Comments: advanced gingival recession observed. Lower anterior crowding observed

Intra-oral Photos Taken:
[ ] Yes
[x] No

Radiographs Taken (Document findings on A&O encounter):
[ ] Yes
[x] No

Instructed how to obtain urgent and non-urgent dental care:
Yes: [x]
No: <empty>

Treatment Priorities:
None: <empty>
Non-urgent: non-urgent
Urgent Referred to Sick Call: <empty>

Radiographs authorized:
PAAs: <empty>
BWs: <empty>
Panorex: <empty>

Prophylaxis authorized:
Yes [x]
No
(Approval valid 18 months from examination date)

Patient Name: Epstein, Jeffrey E
Dentist Signature: <signature> DDS
Signature Block/Stamp: <signature> DDS.

Registrar Number: 76318-054
Institution: MCC NEW YORK
Date: 7-26-19.
Chief Dental Officer: <empty>
MCC New York

PDF

Prescribed by P6400

Replaces BP-A0618 of JUN 10

EFTA00036314

# A&O DENTAL EXAMINATION (cont.)

BP-S358.060
SEP 05

# 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:

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.

I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I 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.

MD 7-24-2019
Counseled by Date Patient's Signature Date

87/4/19
Date NYM-NEW YORK MCC

EFTA00036315

BP-S358.060
SEP 05

# MEDICAL TREATMENT REFUSAL

CDFRM

U.S. DEPARTMENT OF JUSTICE

FEDERAL BUREAU OF PRISONS

7-10-2019
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:

66 YR OLD MALE WITH NO PMHX, REFERRED FOR ROUITNE CXR.

The following treatment(s) was/were recommended:

CHEST X-RAY

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:

WORSENING THE CONDITION IF THERE IS ANY FINDINGS

I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I 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.

X-RAY 7-10-2019
Counseled by Date

Patient's Signature Date



7-10-19
Date

NYM-NEW YORK MCC

EFTA00036316

BP-A0618

JUN 16
U.S. DEPARTMENT OF JUSTICE

# A&O DENTAL EXAMINATION

(Initial Clinical Dental Findings)

FEDERAL BUREAU OF PRISONS

Occlusion:

Oral Hygiene: Good Fair Poor

CPITN:
3 2 3
33

3 2

Head & Neck/Soft Tissue:
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
RIGHT
32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
Gold Classification:
D:
GEA M: 1 CLI
F14 Pain Scale:

/10.

Dental Prostheses at Intake:
[x] No

Type: <empty>
Age: <empty>
Condition: <empty>

Comments: advanced MGD to moderate gingival recession observed. Lower anterior crowding observed

Intra-oral Photos Taken:
Yes
[x] No

Radiographs Taken (Document findings on A&O encounter):
Yes
[x] No

Instructed how to obtain urgent and non-urgent dental care:
Yes: [x]
No: <empty>

Treatment Priorities:
None: <empty>
Non-urgent: non-urgent
Urgent: Referred to Sick Call: <empty>

Radiographs authorized:
PA: <empty>
BW: <empty>
Panorex: <empty>

Prophylaxis authorized:
Yes [x]
No
(Approval valid 18 months from examination date)

Patient Name: Epstein, Jeffrey E
Dentist Signature: <signature> DDS
Signature Block/Stamp: <signature> DDS.

Register Number: 76318-054
Institution: MCC NEW YORK
Date: 7-26-19.
Chief Dental Officer: MCC New York

PDF

Prescribed by P6400

Replaces BP-A0618 of JUN 10

EFTA00036317

# 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:

M Race: WHITE

RN

Reg #: 76318-054
Facility: NYM
Unit: Z04

Emergency Code - Resuscitation Event encounter performed at Special Housing Unit.

SUBJECTIVE:

Emergency Note Provider:

RN

Team Members:

Provider

RN

Role
Team/Code Leader

Code Events:

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

<table><tr><th>Type</th><th>Value</th><th>Date</th></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 06:35</td></tr><tr><td>EKG/Monitor</td><td>Lifepak</td><td>08/10/2019 06:39</td></tr><tr><td>No shock advised</td><td></td><td></td></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 06:40</td></tr><tr><td>Oxygen</td><td>15L</td><td>08/10/2019 06:47</td></tr><tr><td>IV Access</td><td>Peripheral IV</td><td>08/10/2019 06:48</td></tr><tr><td>18 g Left AC</td><td></td><td></td></tr><tr><td>Airway</td><td>Endotracheal Tube</td><td>08/10/2019 07:08</td></tr><tr><td colspan="3">ET Tube 7.5 24CM to L Lip line Placed by Paramedics</td></tr><tr><td>Medications</td><td>Epinephrine 1mg IV</td><td>08/10/2019 07:10</td></tr><tr><td>Epinephrine 3</td><td colspan="2">doses and Sodium bicarb 2 doses administered by paramedics</td></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 07:11</td></tr><tr><td>Medications</td><td>Sodium Bicarbonate 1 mEa/kg IV</td><td>08/10/2019 07:11</td></tr><tr><td>IV Fluids</td><td>Normal Saline 0.9% 1000 ml</td><td>08/10/2019 07:12</td></tr><tr><td>Medications</td><td>Epinephrine 1mg IV</td><td>08/10/2019 07:13</td></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 07:14</td></tr><tr><td>Medications</td><td>Sodium Bicarbonate 1 mEa/kg IV</td><td>08/10/2019 07:14</td></tr><tr><td>Medications</td><td>Epinephrine 1mg IV</td><td>08/10/2019 07:16</td></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 07:17</td></tr></table>

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## Comments:

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 L AC, O2 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

RN

Bureau of Prisons - NYM

Page 1 of 2

EFTA00036318

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 08/10/2019 07:25

Sex:
Provider:

M Race: WHITE
RN

Reg #: 76318-054
Facility: NYM
Unit: Z04

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## OBJECTIVE: (cont.)

<table><tr><th>Exam:</th><th></th><th></th><th></th><th></th><th></th></tr><tr><td>ASSESSMENT:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Cardiac Arrest</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>PLAN:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>New Consultation Requests:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Consultation/Procedure</td><td>Target Date</td><td>Scheduled Target Date</td><td>Priority</td><td>Translator</td><td>Language</td></tr><tr><td>Emergency Room</td><td>08/10/2019</td><td>08/10/2019</td><td>Emergent</td><td>No</td><td></td></tr><tr><td>Subtype:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>AMBULANCE</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Reason for Request:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td colspan="4">Cardiac arrest with CPR in progress</td><td></td><td></td></tr><tr><td>Copay Required: No</td><td>Cosign Required:</td><td>Yes</td><td></td><td></td><td></td></tr><tr><td>Telephone/Verbal Order: No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Completed by</td><td>RN on 08/10/2019 08:10</td><td></td><td></td><td></td><td></td></tr><tr><td>Requested to be cosigned by</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td colspan="6">Cosign documentation will be displayed on the following page.</td></tr></table>

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## OBJECTIVE: (cont.)

Generated 08/10/2019 08:10 by

RN

Bureau of Prisons - NYM

Page 2 of 2

EFTA00036319

# Bureau of Prisons
Health Services
Clinical Encounter

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/30/2019 15:58

Sex:
Provider:

M Race: WHITE

Reg #: 76318-054
Facility: NYM
Unit: Z01

Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE:

COMPLAINT 1 Provider:

Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATES THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS H OF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS THI CPAP MACHINE. I INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDICAL ISSUES. STATES HE FEELS OTHERWISE FINE. Pain: Not Applicable

Seen for clinic(s): Pulmonary/Respiratory, Orthopedic/Rheumatology, Endocrine/Lipid

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## OBJECTIVE:

<table><tr><th>Exam:</th></tr><tr><td>General</td></tr><tr><td>Affect</td></tr><tr><td>Yes: Cooperative</td></tr><tr><td>Appearance</td></tr><tr><td>Yes: Appears Well, Alert and Oriented x 3</td></tr><tr><td>No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic,
Disheveled, Unkempt, Acutely III</td></tr><tr><td>Nutrition</td></tr><tr><td>No: Appears Obese</td></tr><tr><td>Pulmonary</td></tr><tr><td>Auscultation</td></tr><tr><td>Yes: Clear to Auscultation</td></tr><tr><td>Cardiovascular</td></tr><tr><td>Auscultation</td></tr><tr><td>Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2</td></tr><tr><td>No: M/R/G</td></tr><tr><td>Musculoskeletal</td></tr><tr><td>Tibia / Fibula</td></tr><tr><td>No: Edema</td></tr><tr><td>Neurologic</td></tr></table>

Generated 07/30/2019 16:12 by

Bureau of Prisons - NYM

Page 1 of 2

EFTA00036320

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/30/2019 15:58

Sex:
Provider:

M Race: WHITE

Reg #: 76318-054
Facility: NYM
Unit: Z01

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## OBJECTIVE: (cont.)

<table><tr><th>Exam:</th><th></th><th></th><th></th></tr><tr><td>Cranial Nerves (CN)</td><td></td><td></td><td></td></tr><tr><td>Yes: Within Normal Limits</td><td></td><td></td><td></td></tr><tr><td>Motor System-General</td><td></td><td></td><td></td></tr><tr><td>Yes: Normal Exam</td><td></td><td></td><td></td></tr><tr><td>Motor System-Strength</td><td></td><td></td><td></td></tr><tr><td>Yes: Normal Muscular Strength</td><td></td><td></td><td></td></tr><tr><td colspan="4">ASSESSMENT:</td></tr><tr><td>Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current</td><td></td><td></td><td></td></tr><tr><td>Constipation, unspecified, K5900 - Current</td><td></td><td></td><td></td></tr><tr><td>Essential (primary) hypertension, 110- Current - BY HX.</td><td></td><td></td><td></td></tr><tr><td>Hyperlipidemia, unspecified, E785 - Current</td><td></td><td></td><td></td></tr><tr><td>Low back pain, M545 - Current</td><td></td><td></td><td></td></tr><tr><td>Neuralgia and neuritis, unspecified, M792 - Current</td><td></td><td></td><td></td></tr><tr><td>Prediabetes, R7303 - Current</td><td></td><td></td><td></td></tr><tr><td>Sleep apnea, G4730 - Current</td><td></td><td></td><td></td></tr><tr><td>PLAN:</td><td></td><td></td><td></td></tr><tr><td>New Medication Orders:</td><td></td><td></td><td></td></tr><tr><td>RX# Medication</td><td></td><td>Order Date</td><td>Prescriber Order</td></tr><tr><td>INsulin REG-Human</td><td></td><td>07/30/2019 15:58</td><td>SLIDING SCALE
Subcutaneously each morning x
7 day(s) Pill Line Only</td></tr><tr><td>Indication: Prediabetes</td><td></td><td></td><td></td></tr><tr><td colspan="4">Discontinued Medication Orders:</td></tr><tr><td>RX# Medication</td><td></td><td>Order Date</td><td>Prescriber Order</td></tr><tr><td>122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj</td><td></td><td>07/30/2019 15:58</td><td>Inject regular insulin
subcutaneously per sliding scale:
twice daily ***pill line*** for 7
days</td></tr><tr><td>Discontinue Type: When Pharmacy
Discontinue Reason: new order written
Indication:</td><td></td><td>Processes</td><td></td></tr><tr><td>Copay Required: No Cosign Required:</td><td>No</td><td></td><td></td></tr><tr><td>Telephone/Verbal Order: No</td><td></td><td></td><td></td></tr><tr><td>Completed by on 07/30/2019 16:12</td><td></td><td></td><td></td></tr></table>

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## OBJECTIVE: (cont.)

Completed by

Generated 07/30/2019 16:12 by

Bureau of Prisons - NYM

Page 2 of 2

EFTA00036321

Bureau of Prisons
Health Services

# Clinical Encounter

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/30/2019 11:12

Sex:
Provider:

M Race: WHITE

Reg #: 76318-054
Facility: NYM
Unit: Z01

# Clinical Encounter (cont.)

Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE:

COMPLAINT 1 Provider:

Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATES THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS HOF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDICAL ISSUES. NON-MEDICAL STATES HE FEELS OTHERWISE FINE. OTHERWISE Pain: Not Applicable

APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS
HERE SINCE HE DIE NOT HAVE ACCESS T HI CPAP
WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN

ISSUES.
FINE.

Amendment

Location Location
94 94

88 88 Via Via Machine Machine

87 87 Via Machine Via Machine

Per Minute Provider

# Clinical Encounter (cont.)

Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, Pulmonary/Respiratory Pulmonary/Respiratory

OBJECTIVE:

Pulse:

# Clinical Encounter (cont.)

<table><tr><th>Date</th><th>Time</th><th>Rate Per Minute</th><th>Location</th><th></th><th></th></tr><tr><td>07/30/2019</td><td>13:02</td><td>94</td><td></td><td></td><td></td></tr><tr><td>07/30/2019</td><td>09:40</td><td>88</td><td>Via Machine</td><td></td><td></td></tr><tr><td>07/30/2019</td><td>09:30</td><td>87</td><td>Via Machine</td><td></td><td></td></tr><tr><td colspan="2">Respirations:</td><td></td><td></td><td></td><td></td></tr><tr><td>Date</td><td>Time</td><td colspan="2">Rate Per Minute Provider</td><td></td><td></td></tr><tr><td>07/30/2019</td><td>09:30</td><td>NYM</td><td>12</td><td></td><td></td></tr><tr><td>Blood Pressure:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Date</td><td>Time</td><td>Value Location</td><td>Position</td><td>Cuff Size</td><td>Provider</td></tr><tr><td>07/30/2019</td><td>13:02 NYM</td><td>114/84 Left Arm</td><td>Standing</td><td></td><td></td></tr><tr><td>07/30/2019</td><td>09:40 NYM</td><td>125/60 Right Arm</td><td>Standing</td><td></td><td></td></tr><tr><td>07/30/2019</td><td>09:30 NYM</td><td>108/86 Left Arm</td><td>Sitting</td><td></td><td></td></tr><tr><td>SaO2:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Date</td><td>Time</td><td>Value(%) Air</td><td></td><td>Provider</td><td></td></tr><tr><td>07/30/2019</td><td>09:30 NYM</td><td>98 Room</td><td>Air</td><td></td><td></td></tr><tr><td>Weight:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Date</td><td>Time</td><td>Lbs Kg</td><td>Waist Circum.</td><td>Provider</td><td></td></tr></table>

# Clinical Encounter (cont.)

Generated 07/30/2019 14:05 by

Bureau of Prisons - NYM

Page 1 of 3

EFTA00036322

# Clinical Encounter (cont.)

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/30/2019 11:12

Sex:
Provider:

M Race: WHITE

Reg#: 76318-054
Facility: NYM
Unit: Z01

Date Time Lbs Kg Waist Circum. Provider
07/30/2019 09:30 NYM 194.2 88.1

Exam:
General
Affect
Yes: Cooperative
Appearance
Yes: Appears Well, Alert and Oriented x 3
No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic,
Disheveled, Unkempt, Acutely III
Nutrition

No: Appears Obese
Pulmonary
Auscultation
Yes: Clear to Auscultation
Cardiovascular
Auscultation
Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2
No: M/R/G
Musculoskeletal
Tibia / Fibula See Amendment
No: Edema
Neurologic
Cranial Nerves (CN)
Yes: Within Normal Limits
Motor System-General
Yes: Normal Exam

Motor System-Strength
Yes: Normal Muscular Strength

ASSESSMENT:

Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current
Constipation, unspecified, K5900 - Current

Essential (primary) hypertension, 110 Current - BY HX.

Hyperlipidemia, unspecified, E785 - Current

Low back pain, M545- Current

Neuralgia and neuritis, unspecified, M792 - Current
Prediabetes, R7303 - Current

Sleep apnea, G4730 - Current

PLAN:

New Medication Orders:

Rx# Medication

# Clinical Encounter (cont.)

Order Date

Prescriber Order

Generated 07/30/2019 14:05 by

Bureau of Prisons - NYM

Page 2 of 3

EFTA00036323

Inmate Name: EPSTEIN, JEFFREY EDWARD

Reg#: 76318-054

# Clinical Encounter (cont.)

<table><tr><th>Date of Birth:</th><th>01/20/1953 Sex: M</th><th>Race: WHITE Facility:</th><th>NYM</th></tr><tr><td>Encounter Date:</td><td>07/30/2019 11:12 Provider:</td><td>Unit:</td><td>Z01</td></tr><tr><td colspan="4">New Medication Orders:</td></tr><tr><td>Rx#</td><td>Medication</td><td>Order Date Prescriber</td><td>Order</td></tr><tr><td></td><td>Magnesium Hydroxide Susp conc 800</td><td>07/30/2019 11:12 10 CC Orally</td><td>Two Times a</td></tr><tr><td></td><td>MG/5ML</td><td>Day PRN</td><td>x 90 day(s)</td></tr><tr><td></td><td>Indication: Constipation, unspecified</td><td></td><td></td></tr><tr><td></td><td>INsulin REG-Human</td><td>07/30/2019 11:12 SLIDING</td><td>SCALE</td></tr><tr><td></td><td></td><td>Subcutaneously
Day x 7</td><td>- Two Times a
day(s) Pill Line Only</td></tr><tr><td colspan="4">Indication: Prediabetes

See</td></tr><tr><td>Renew Medication</td><td>Orders:</td><td></td><td></td></tr><tr><td>Rx#</td><td>Medication</td><td>Order Date Prescriber</td><td>Order</td></tr><tr><td>121836-NYM</td><td>methylPREDNISolone 4 MG Tab (21 count
Pack)</td><td>07/30/2019 11:12 Take the
directed x</td><td>tablet by mouth as
6 day(s)</td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td>New Laboratory</td><td>Requests:</td><td></td><td></td></tr><tr><td>Details</td><td>Frequency</td><td>Due Date</td><td>Priority</td></tr><tr><td>Lab Tests -</td><td>Short List-General-CBC w/diff</td><td>08/01/2019 00:00</td><td>Routine</td></tr><tr><td>Lab Tests-P-PSA,</td><td>Total</td><td></td><td></td></tr><tr><td>Lab Tests-U-Uric</td><td>Acid</td><td></td><td></td></tr><tr><td>Lab Tests -
Metabolic</td><td>Short List-General-Comprehensive
Profile (CMP)</td><td></td><td></td></tr><tr><td>Lab
New Radiology</td><td>Tests-U-Urinalysis w/Reflex to Microscopic
Request Orders:</td><td></td><td></td></tr><tr><td>Details</td><td></td><td>Due Date</td><td>Priority</td></tr><tr><td>General</td><td>Radiology-Spine / Cervical- One Time</td><td>08/29/2019</td><td> Routine</td></tr><tr><td>General</td><td></td><td></td><td></td></tr><tr><td colspan="3">Specific reason(s) for request (Complaints and findings):</td><td></td></tr><tr><td colspan="4">Amendment

66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUIMBNESS FOR 2-3 MINUTES 3 DAYS AGO.
PLEASE PERFORM C SPINE SERIES</td></tr><tr><td colspan="4">Disposition:</td></tr><tr><td colspan="3">Follow-up at Sick Call as Needed</td><td></td></tr><tr><td>Patient Education</td><td>Topics:</td><td></td><td></td></tr><tr><td>Date Initiated</td><td>Format Handout/Topic</td><td></td><td>Outcome</td></tr><tr><td>07/30/2019</td><td>Counseling Access to Care</td><td></td><td>Verbalizes
Understanding</td></tr><tr><td>07/30/2019</td><td>Counseling Plan of Care</td><td></td><td>Verbalizes
Understanding</td></tr><tr><td>Copay Required:</td><td>No Cosign Required: No</td><td></td><td></td></tr><tr><td colspan="4">Telephone/Verbal Order: No</td></tr><tr><td>Completed by</td><td>on 07/30/2019 14:05</td><td></td><td></td></tr></table>

# Clinical Encounter (cont.)

Generated 07/30/2019 14:05 by



Bureau of Prisons - NYM

Page 3 of 3

EFTA00036324

# Bureau of Prisons
Health Services
Clinical Encounter

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/30/2019 11:12

Sex:
Provider:

M Race: WHITE

Reg #: 76318-054
Facility: NYM
Unit: Z01

Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE:

COMPLAINT 1 Provider:

Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATES THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS HOF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS THI CPAP MACHINE. I INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDICAL ISSUES. STATES HE FEELS OTHERWISE FINE. Pain: Not Applicable

Pulmonary/Respiratory

Amendment

Location Provider

94

88 Via Machine

87 Via Machine

12

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

Seen

for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology,

## OBJECTIVE:

Pulse:

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## OBJECTIVE: (cont.)

<table><tr><th>Date</th><th>Time</th><th>Rate Per Minute</th><th>Location</th><th></th><th>Provider</th></tr><tr><td>07/30/2019</td><td>13:02</td><td>94</td><td></td><td></td><td>MD</td></tr><tr><td>07/30/2019</td><td>09:40</td><td>88</td><td>Via Machine</td><td></td><td>MD</td></tr><tr><td>07/30/2019</td><td>09:30</td><td>87</td><td>Via Machine</td><td></td><td>MD</td></tr><tr><td colspan="2">Respirations:</td><td></td><td></td><td></td><td></td></tr><tr><td>Date</td><td>Time</td><td colspan="2">Rate Per Minute Provider</td><td></td><td></td></tr><tr><td>07/30/2019</td><td>09:30</td><td>NYM</td><td>12</td><td></td><td></td></tr><tr><td>Blood Pressure:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Date</td><td>Time</td><td>Value Location</td><td>Position</td><td>Cuff Size</td><td>Provider</td></tr><tr><td>07/30/2019</td><td>13:02 NYM</td><td>114/84 Left Arm</td><td>Standing</td><td></td><td></td></tr><tr><td>07/30/2019</td><td>09:40 NYM</td><td>125/60 Right Arm</td><td>Standing</td><td></td><td></td></tr><tr><td>07/30/2019</td><td>09:30 NYM</td><td>108/86 Left Arm</td><td>Sitting</td><td></td><td></td></tr><tr><td>SaO2:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Date</td><td>Time</td><td>Value(%) Air</td><td></td><td>Provider</td><td></td></tr><tr><td>07/30/2019</td><td>09:30 NYM</td><td>98 Room</td><td>Air</td><td></td><td></td></tr><tr><td>Weight:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Date</td><td>Time</td><td>Lbs Kg</td><td>Waist Circum.</td><td>Provider</td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr></table>

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## OBJECTIVE: (cont.)

Generated 07/30/2019 14:05 by

Bureau of Prisons - NYM

Page 1 of 3

EFTA00036325

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## OBJECTIVE: (cont.)

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/30/2019 11:12

Sex:
Provider:

M Race: WHITE

Reg #: 76318-054
Facility: NYM
Unit: Z01

Date Time Lbs Kg Waist Circum. Provider

07/30/2019 09:30 NYM 194.2 88.1

Exam:
General
Affect
Yes: Cooperative

Appearance
Yes: Appears Well, Alert and Oriented x 3
No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic,
Disheveled, Unkempt, Acutely III
Nutrition

No: Appears Obese
Pulmonary
Auscultation
Yes: Clear to Auscultation
Cardiovascular
Auscultation
Yes: Regular Rate and Rhythm (RRR), Normal $1 and S2
No: M/R/G
Musculoskeletal
Tibia / Fibula See Amendment

No: Edema
Neurologic
Cranial Nerves (CN)
Yes: Within Normal Limits

Motor System-General
Yes: Normal Exam

Motor System-Strength
Yes: Normal Muscular Strength

ASSESSMENT:

Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current

Constipation, unspecified, K5900 - Current

Essential (primary) hypertension, 110- Current - BY HX.

Hyperlipidemia, unspecified, E785 - Current

Low back pain, M545 - Current

Neuralgia and neuritis, unspecified, M792 - Current

Prediabetes, R7303 - Current

Sleep apnea, G4730 - Current

PLAN:

New Medication Orders:

Rx# Medication

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## OBJECTIVE: (cont.)

Order Date

Prescriber Order

Generated 07/30/2019 14:05 by

Bureau of Prisons - NYM

Page 2 of 3

EFTA00036326

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953

Sex:

M Race: WHITE

Reg #: 76318-054
Facility: NYM
Unit: Z01

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## OBJECTIVE: (cont.)

<table><tr><th>Encounter Date:</th><th>07/30/2019 11:12 Provider:</th><th>Unit: Z01</th><th></th></tr><tr><td colspan="2">New Medication Orders:</td><td></td><td></td></tr><tr><td>Rx#</td><td>Medication</td><td>Order Date Prescriber</td><td>Order</td></tr><tr><td></td><td>Magnesium Hydroxide Susp conc 800</td><td>07/30/2019 11:12 10 CC</td><td>Orally-Two Times a</td></tr><tr><td></td><td>MG/5ML</td><td>Day PRN x</td><td>90 day(s)</td></tr><tr><td></td><td>Indication: Constipation, unspecified</td><td></td><td></td></tr><tr><td></td><td>INsulin REG - Human</td><td>07/30/2019 11:12 SLIDING</td><td>SCALE</td></tr><tr><td></td><td></td><td>Subcutaneously
Day x 7 day(s)</td><td>Two Times a
Pill Line Only</td></tr><tr><td colspan="4">Indication: Prediabetes</td></tr><tr><td colspan="2">Renew Medication Orders:

See</td><td></td><td></td></tr><tr><td>Rx#</td><td>Medication</td><td>Order Date Prescriber</td><td>Order</td></tr><tr><td>121836-NYM</td><td>methylPREDNISolone 4 MG Tab (21 count
Pack)</td><td>07/30/2019 11:12 Take the tablet
directed x 6</td><td>by mouth as
day(s)</td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td>New Laboratory</td><td>Requests:</td><td></td><td></td></tr><tr><td>Details</td><td>Frequency</td><td>Due Date</td><td>Priority</td></tr><tr><td>Lab Tests</td><td>Short List-General-CBC w/diff</td><td>08/01/2019 00:00</td><td>Routine</td></tr><tr><td>Lab Tests-P-PSA,</td><td>Total</td><td></td><td></td></tr><tr><td>Lab Tests-U-Uric</td><td>Acid</td><td></td><td></td></tr><tr><td>Lab Tests -</td><td>Short List-General-Comprehensive</td><td></td><td></td></tr><tr><td>Metabolic</td><td>Profile (CMP)</td><td></td><td></td></tr><tr><td>Lab</td><td>Tests-U-Urinalysis w/Reflex to Microscopic</td><td></td><td></td></tr><tr><td>New Radiology</td><td>Request Orders:</td><td></td><td></td></tr><tr><td>Details</td><td>Frequency</td><td>Due Date</td><td>Priority</td></tr><tr><td>General</td><td>Radiology-Spine / Cervical- One Time</td><td>08/29/2019</td><td>Routine</td></tr><tr><td>General</td><td></td><td></td><td></td></tr><tr><td>Specific</td><td>reason(s) for request (Complaints and findings):</td><td></td><td></td></tr><tr><td colspan="4">Amendment

66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUIMBNESS FOR 2-3 MINUTES 3 DAYS AGO.
PLEASE PERFORM C SPINE SERIES</td></tr><tr><td colspan="4">Disposition:</td></tr><tr><td>Follow-up</td><td colspan="3">at Sick Call as Needed</td></tr><tr><td colspan="4">Patient Education Topics:</td></tr><tr><td>Date Initiated</td><td>Format Handout/Topic</td><td></td><td>Outcome</td></tr><tr><td>07/30/2019</td><td>Counseling Access to Care</td><td></td><td>Verbalizes
Understanding</td></tr><tr><td>07/30/2019</td><td>Counseling Plan of Care</td><td></td><td>Verbalizes
Understanding</td></tr><tr><td>Copay Required:</td><td>No Cosign Required: No</td><td></td><td></td></tr><tr><td>Telephone/Verbal</td><td>Order: No</td><td></td><td></td></tr><tr><td>Completed by</td><td>on 07/30/2019 14:05</td><td></td><td></td></tr></table>

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## OBJECTIVE: (cont.)

Generated 07/30/2019 14:05 by

Bureau of Prisons - NYM

Page 3 of 3

EFTA00036327

Bureau of Prisons
Health Services

# See Amendment

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/30/2019 15:58

Sex:

M

Reg #: 76318-054
Race: WHITE
Facility: NYM

Amendment made to this note by

on 07/30/2019 16:12.

Bureau of Prisons - NYM

EFTA00036328