mirror-epstein-docs/results/IMAGES010/DOJ-OGR-00026075.json

{
  "document_metadata": {
    "page_number": "2399",
    "document_number": "BP-S358.060",
    "date": "7-24-2019",
    "document_type": "MEDICAL TREATMENT REFUSAL",
    "has_handwriting": true,
    "has_stamps": false
  },
  "full_text": "Page 2399\nBP-S358.060\nSEP 05\nMEDICAL TREATMENT REFUSAL\nCDFRM\nU.S. DEPARTMENT OF JUSTICE\nFEDERAL BUREAU OF PRISONS\n7-24-2019\nDate\nI, JEFFREY EPSTEIN\n76318-054\n, refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s):\nDESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY:\nEYE DOCTOR EVALUATION.\nThe following treatment(s) was/were recommended:\nEYE DOCTOR EVALUATION.\nFederal 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:\nINABILITY TO DIAGNOSE CURRENT OPHTHALMOLOGIC DISEASES.\nI 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.\n(b)(6); (b)(7)(C)\n(b)(6); (b)(7)(C)\nMD\n7-24-2019\nDate\nCounseled by\n(b)(6); (b)(7)(C)\n07/24/19\nDate\nSignature of Witness\n(b)(6); (b)(7)(C)\n1s4\nNYM--NEW YORK MCC\nPatient's Signature\nDate\nDOJ-OGR-00026075",
  "text_blocks": [
    {
      "type": "printed",
      "content": "MEDICAL TREATMENT REFUSAL",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "U.S. DEPARTMENT OF JUSTICE\nFEDERAL BUREAU OF PRISONS",
      "position": "header"
    },
    {
      "type": "handwritten",
      "content": "7-24-2019",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "I, JEFFREY EPSTEIN\n76318-054\n, 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:\nEYE DOCTOR EVALUATION.",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "The following treatment(s) was/were recommended:\nEYE 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:",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "INABILITY TO DIAGNOSE CURRENT OPHTHALMOLOGIC 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)\n(b)(6); (b)(7)(C)\nMD\n7-24-2019\nDate",
      "position": "footer"
    },
    {
      "type": "handwritten",
      "content": "(b)(6); (b)(7)(C)\n07/24/19\nDate",
      "position": "footer"
    },
    {
      "type": "handwritten",
      "content": "(b)(6); (b)(7)(C)\n1s4",
      "position": "footer"
    },
    {
      "type": "handwritten",
      "content": "NYM--NEW YORK MCC",
      "position": "footer"
    },
    {
      "type": "signature",
      "content": "Patient's Signature",
      "position": "footer"
    },
    {
      "type": "printed",
      "content": "DOJ-OGR-00026075",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [
      "JEFFREY EPSTEIN"
    ],
    "organizations": [
      "U.S. DEPARTMENT OF JUSTICE",
      "FEDERAL BUREAU OF PRISONS"
    ],
    "locations": [
      "NEW YORK MCC"
    ],
    "dates": [
      "7-24-2019",
      "07/24/19"
    ],
    "reference_numbers": [
      "BP-S358.060",
      "76318-054",
      "DOJ-OGR-00026075"
    ]
  },
  "additional_notes": "The document contains redactions and appears to be a medical treatment refusal form signed by Jeffrey Epstein."
}