Jeffrey Epstein's Bureau of Prisons intake health exam, July 2019

EFTA00110390¶

Bureau of Prisons Health Services History & Physical¶

Inmate Name:

EPSTEIN, JEFFREY EDWARD

Reg #:

76318-054

Date of Birth:

01/20/1953

Sex:

Race: WHITE

Facility:

NYM

Encounter Date:

07/09/2019 12:35

Provider:

MLP

Unit:

H01

Seizures:

Denied

Diabetes:

Denied

Cardiovascular:

Denied

CVA:

Denied

Hypertension:

Denied

Respiratory:

Denied

Sickle Cell Anemia:

Denied

Carcinoma/Lymphoma:

Denied

Allergies:

Denied

Tuberculosis:

Hx of Previous Disease: No

Blood-tinged Sputum: No

Night Sweats: No

Weight Loss: No

Fever: No

Cough: No

Comments:

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

Page 1 of 13¶

Generated 07/09/2019 13:03 by¶

MLP¶

Bureau of Prisons - NYM¶

EFTA00110391¶

Inmate Name: EPSTEIN, JEFFREY EDWARD	Sex: M	Race: WHITE	Reg #: 76318-054
Date of Birth: 01/20/1953	Provider:	MLP	Facility: NYM
Encounter Date: 07/09/2019 12:35			Unit: H01

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¶

Comments: Denies¶

Generated 07/09/2019 13:03 by¶

MLP¶

Page 2 of 13¶

Bureau of Prisons - NYM¶

EFTA00110392¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35


Sex:	M Race: WHITE
Provider:	Y. MLP
Reg #:	76318-054
Facility:	NYM
Unit:	H01

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 07/09/2019 13:03 by¶

MLP¶

Page 3 of 13¶

Bureau of Prisons - NYM¶

EFTA00110393¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD				Reg #:	76318-054
Date of Birth:	01/20/1953	Sex:	M	Race: WHITE	Facility:	NYM
Encounter Date:	07/09/2019 12:35	Provider:	MLP		Unit:	H01
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
Creaturing: No
ts:

Generated 07/09/2019 13:03 by¶

MLP¶

Page 4 of 13¶

Bureau of Prisons - NYM¶

EFTA00110394¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35

Sex:	M Race: WHITE
Provider:	MLP

Reg #:	76318-054
Facility:	NYM
Unit:	H01

Immunizations:¶

Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not Administered¶

Documented Date: 07/09/2019 12:51 EST
Immunization Date:
- Provider: [ ] MLP
Location:
- Drug Mfg:
- Lot Number:
- Dosage:
- Route:
- Exp Dt:
- Comments:

Measles/Mumps/Rubella Series Administration: History Unknown, Not Administered¶

Documented Date: 07/09/2019 12:51 EST
Immunization Date:
- Provider: [ ] MLP
Location:
- Drug Mfg:
- Lot Number:
- Dosage:
- Route:
- Exp Dt:
- Comments:

Smallpox Series Administration: History Unknown, Not Administered¶

Documented Date: 07/09/2019 12:51 EST
Immunization Date:
- Provider: [ ] MLP
Location:
- Drug Mfg:
- Lot Number:
- Dosage:
- Route:
- Exp Dt:
- Comments:

Tetanus Administration: History Unknown, Not Administered¶

Documented Date: 07/09/2019 12:51 EST

Page 5 of 13¶

EFTA00110395¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35

Sex:	M	Race: WHITE
Provider:	MLP	Unit: H01

Date	Time	Value	Location	Position	Cuff Size	Provider
07/09/2019	12:49 NYM	117/66	Right Arm	Sitting	Adult-regular	MLP

Date	Time	Inches	Cm	Provider
07/09/2019	12:49 NYM	70.0	177.8	MLP
Generated 07/09/2019 13:03 by MLP			Bureau of Prisons - NYM

Page 6 of 13¶

EFTA00110396¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35

				Reg #:	76318-054
	Sex:	M	Race: WHITE	Facility:	NYM
	Provider:	.MLP		Unit:	H01

Date	Time	Inches	Cm	Provider
Weight:
Date	Time	Lbs	Kg	Waist Circum.	Provider
07/09/2019	12:49 NYM	194.4	88.2		.MLP

Prosthetic Devices/Equipment: Denied¶

Tobacco Usage: Denied¶

General Social History:¶

Foreign Travel:¶

Born in USA: Yes¶

Country of Birth: USA¶

Patient Education Assessments:
Date	Ed Yrs	Occupation	Learns Best By	Primary Language	Barriers to Education
07/09/2019	12	Banker	Speaking/Listening	English	None

Family History - Father:¶

Age at Death: 74¶

Cause of Death: Diabetes complications¶

Significant Illnesses:¶

Diabetes
Heart Disease

Comments:¶

Family History - Mother:¶

Age at Death: 81¶

Cause of Death: Kidney Failure¶

Significant Illnesses:¶

Heart Disease

Comments:¶

Family History - Sibling:¶

Number of Siblings: 1¶

Significant Illnesses:¶

Comments:¶

Past Hospitalization:¶

Reason¶

Acute Appendicitis¶

Complications: None¶

Comments:¶

Head:¶

Normal: Yes¶

Comments:¶

Generated 07/09/2019 13:03 by¶

MLP¶

Bureau of Prisons - NYM¶

Page 7 of 13¶

EFTA00110397¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35

Sex:	M Race: WHITE
Provider:	MLP

Reg #:	76318-054
Facility:	NYM
Unit:	H01

EOMI: Yes

Icterus:No

Conjunctival Inflammation: No

Pupils PERRLA:Yes

Pupil Size Rt:

Pupil Size Lt:

Pupils Comments:

Fundi Vessels Nicking:No

Fundi Vessels Discs Flat:Yes

Fundi Vessels Discs Sharp Margins:Yes

Fundi Vessels Grounds Abnormal:No

Eyes Comments:

Ears:¶

Right Ear: Canal patent¶

Left Ear: Canal patent¶

Ears Comments:¶

Nose:¶

Nares Patent: Yes¶

Septum Midline: Yes¶

Septum Intact: Yes¶

Drainage/Discharge: No¶

Polyps: No¶

Nose Comments:¶

Generated 07/09/2019 13:03 by¶

Page 8 of 13¶

MLP¶

Bureau of Prisons - NYM¶

EFTA00110398¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35

Sex:	M Race: WHITE
Provider:	MLP

Reg #:	76318-054
Facility:	NYM
Unit:	H01

Mouth¶

Lesions: No

Oral/Buccal Mucosa: Yes

Gums Normal: Yes

Tonsils Present: Yes

Tonsils Normal: Yes

Pharynx: Normal Color

Teeth Poor Dentition: No

Teeth Count: Mostly Present

Dentures: No

Mouth Comments:

Cranial Nerves:¶

Intact II-XII: Yes¶

Cranial Nerves Comments:¶

Neck:¶

Full ROM:Yes

Masses/Nodes:No

Trachea:Midline

Thyroid:Normal Size

Comments:

Breasts:¶

Normal: Yes

Masses:No

Tenderness:No

Scars: No

Dimpling:No

Nipple Discharge: No

Nipple Retraction: No

Comments:¶

Instructions for Self Breast Exam Given: No¶

Generated 07/09/2019 13:03 by¶

MLP¶

Page 9 of 13¶

Bureau of Prisons - NYM¶

EFTA00110399¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35

Sex:	M Race: WHITE
Provider:	MLP

Reg #:	76318-054
Facility:	NYM
Unit:	H01

Thorax:¶

Contour Normal: Yes

Increased AP Diameter: No

Asymmetrical Expansion: No

Lungs Clear: Yes

Wheezes: No

Crackles: No

Rhonchi: No

Rales: No

Accessory Muscle Use: No

Comments:

Spine:¶

Deformity: No

Full ROM: Yes

Tenderness: No

Comments:

Cardiovascular:¶

RRR: Yes

Normal S1/S2: Yes

Murmurs: No

Carotid Bruits: No

Arteries:	Right	Left
Radial:
Femoral:
Dorsalis Pedis:
Post.Tibialis:

Comments:¶

Generated 07/09/2019 13:03 by¶

Page 10 of 13¶

MLP¶

Bureau of Prisons - NYM¶

EFTA00110400¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35

				Reg #:	76318-054
	Sex:	M	Race: WHITE	Facility: NYM
	Provider:	MLP		Unit: H01

Abdomen:¶

Normal Contour:Yes

Scaphoid:No

Obese:No

Gravid:No

Hernias:No

Bruits:No

Masses:No

Scars:No

Tenderness:No

Organomegaly:No

Active Bowel Sounds:Yes

Comments:

Extremities:¶

Nails Clubbing: No

Nails Cyanosis: No

Lower Extremity Edema - Right: None

Lower Extremity Edema - Left: None

Atrophy: No

Amputations: No

Other Deformities: No

Varicosities: No

Calf Tenderness: No

Pulse Deficit: No

Strength:	Right	Left
Arm:
Leg:

Full ROM:	Right	Left
Arm:	Yes	Yes
Leg:	Yes	Yes

Comments:¶

Generated 07/09/2019 13:03 by¶

Page 11 of 13¶

MLP¶

Bureau of Prisons - NYM¶

EFTA00110401¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35

				Reg #:	76318-054
	Sex:	M Race: WHITE		Facility: NYM
	Provider:	.MLP		Unit: H01

Date of Birth:	01/20/1953	Sex:	M	Race: WHITE	Facility:	NYM
Encounter Date:	07/09/2019 12:35	Provider:	MLP		Unit:	H01
Reflexes:
	Right	Left
Biceps:
Patellar:
Brachioradialis:
Achilles:
Sensation:
Vibratory: Yes
Light Touch: Yes
Pin Prick: Yes
Comments:
GU:
Chaperoned By:
Rectum: Not Done
Comments: Refused.
Male Genitalia: Not Done
Comments: Refused.
Skin:
Normal: Yes
Rash: No
Redness: No
Abnormal Pigmentation: No
Abnormal Lesions/Growths: No
Comments:
Lymphatics:
Adenopathy: No
Comments:
Potential Items For Follow-up:
Item
Travel Outside US
Other Infectious Disease History
Rectum Not Done
Male Genitalia Not Done
PPD Administration Not Performed
Comments:
Patient has a history of constipation.

Generated 07/09/2019 13:03 by¶

Page 12 of 13¶

MLP¶

Bureau of Prisons - NYM¶

EFTA00110402¶

Inmate Name: EPSTEIN, JEFFREY EDWARD	Sex: M	Race: WHITE	Reg #: 76318-054
Date of Birth: 01/20/1953			Facility: NYM
Encounter Date: 07/09/2019 12:35	Provider:	MLP	Unit: H01

Cleared For Food Services: Yes¶

Health Problems Newly Identified During This Encounter: Health Problem Constipation, unspecified - Current -¶

New Medication Orders:¶

Rx#	Medication	Order Date	Prescriber Order
	Bisacodyl E.C. Tablet	07/09/2019 12:35	5 mg Orally at bedtime PRN x 10 day(s)
	Indication: Constipation, unspecified

Disposition: Follow-up at Sick Call as Needed¶

Instructed inmate how to obtain medical, dental, and mental health care.¶

Copay Required: No Cosign Required: Yes¶

Telephone/Verbal Order: No¶

Completed by MLP on 07/09/2019 13:03¶

Requested to be cosigned by MD.¶

the following page.¶

Generated 07/09/2019 13:03 by¶

MLP¶

Page 13 of 13¶

Bureau of Prisons - NYM¶

EFTA00110403¶

Bureau of Prisons Health Services Cosign/Review¶

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Sex: M Provider: .MLP Reg #: 76318-054 Race: WHITE Facility: NYM¶

Cosigned by MD on 07/11/2019 22:41.¶

Bureau of Prisons - NYM¶

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Jeffrey Epstein's Bureau of Prisons intake health exam, July 2019

Bureau of Prisons Health Services History & Physical¶

Immunizations:¶

General Social History:¶

Family History - Father:¶

Family History - Mother:¶

Family History - Sibling:¶

Reason¶

Head:¶

Ears:¶

Nose:¶

Mouth¶

Cranial Nerves:¶

Neck:¶

Breasts:¶

Thorax:¶

Spine:¶

Cardiovascular:¶

Comments:¶

Abdomen:¶

Extremities:¶

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