{ "document_metadata": { "page_number": null, "document_number": "BP-S358.060", "date": "7-24-2019", "document_type": "Medical Treatment Refusal", "has_handwriting": true, "has_stamps": false }, "full_text": "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. (b)(6), (b)(7)(C) MD 7-24-2019 Date Counseled by Patient's Signature 7-24-19 Date (b)(6), (b)(7)(C) 8/13/19 Signature of Witness Date NYM--NEW YORK MCC DOJ-OGR-00024180", "text_blocks": [ { "type": "printed", "content": "BP-S358.060 SEP 05 MEDICAL TREATMENT REFUSAL CDFRM", "position": "header" }, { "type": "printed", "content": "U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS", "position": "header" }, { "type": "handwritten", "content": "7-24-2019", "position": "header" }, { "type": "printed", "content": "I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s):", "position": "body" }, { "type": "printed", "content": "DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION.", "position": "body" }, { "type": "printed", "content": "The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION.", "position": "body" }, { "type": "printed", "content": "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.", "position": "body" }, { "type": "printed", "content": "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.", "position": "body" }, { "type": "handwritten", "content": "(b)(6), (b)(7)(C) MD 7-24-2019", "position": "body" }, { "type": "handwritten", "content": "7-24-19", "position": "body" }, { "type": "handwritten", "content": "(b)(6), (b)(7)(C) 8/13/19", "position": "body" }, { "type": "printed", "content": "NYM--NEW YORK MCC", "position": "footer" }, { "type": "printed", "content": "DOJ-OGR-00024180", "position": "footer" } ], "entities": { "people": [ "JEFFREY EPSTEIN" ], "organizations": [ "U.S. DEPARTMENT OF JUSTICE", "FEDERAL BUREAU OF PRISONS" ], "locations": [ "NEW YORK MCC" ], "dates": [ "7-24-2019", "7-24-19", "8/13/19" ], "reference_numbers": [ "BP-S358.060", "76318-054", "DOJ-OGR-00024180" ] }, "additional_notes": "The document contains redactions marked as (b)(6), (b)(7)(C) which likely indicate personal identifying information or sensitive details protected under U.S. law." }