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"Social History"
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Corpus: 1990-03-17 – 2025-12-01
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EFTA00314076
Dataset 9
2016-07-25
1p
300w
…list medication & reaction:
Social History
Occupation: Banker Family History Yes No Family Member Single Marital Status: Prostate Cancer 00 Children: Noi0 QYes Number: Colon Cancer O0 Smoke: Noe °Yes (lists packs and years) Bladder Cancer • O Alcohol: Nc0 0 Yes (list drinks per week) Heart Disease O0 Caffeine: NoQ ®Tes Dist a per day) Other: O0 Review of Systems Constitutional Significant Changes in Weight YesQ Q No Fevers and Chiils YesQ Q No FOR OFFICE USE ONLY Neese Q No…
https://www.justice.gov/epstein/files/DataSet%209/EFTA00314076.pdf
EFTA00308055
Dataset 9
11p
3,765w
… 0 NO 0 YES Surgical History — Please list dates, if any: 0 None Allergies — Please list Reactions: 0 None 0 Latex: 0 Other:
Social History
: Highest Level of Education: Occupation: Marital Status (select one): 0 Si ngle 0 Ma rried 0 Divorced 0 Widowed 0 Partnered Tobacco Use: Alcohol Use: Illicit Drug Use: Family Medical History: Current Medication with Usage: Is it okay to leave you a voicemail with possible confidential information:Q NO 0 YES, PREF # Patient Signature: Date…
https://www.justice.gov/epstein/files/DataSet%209/EFTA00308055.pdf
EFTA00295100
Dataset 9
12p
2,992w
…Unit #: Drug name Dosage Family History Illness - Yes Relative Illness Yes Relative diabetes drinking stroke breast cancer heart disease colon cancer high blood pressure ovarian carter aneurysm other
Social History
Habits smoking yes no packs per day years alcohol yes no drinks per day years drug use yes no Personal Profile marital status: married single widowed divorced number of children occupation: education: other: Signature of patient: Date: Date reviewed by patient: Physician signature: Date: 4 clip COLUMBIA UNIVERSITY MEDICAL CENTER …
https://www.justice.gov/epstein/files/DataSet%209/EFTA00295100.pdf
EFTA00139235
Dataset 9
2020-05-14
22p
8,840w
…Northeast Regional Office. This reconstruction was established in accordance with Bureau of Prisons' (BOP) Program Statement 5324.08, Suicide Prevention Proeram,
Social History
: Mr. Epstein did not have a Pre-Sentence Report (PSR) available at the time of the reconstruction; therefore, no official information regarding
social history
was accessible. The following was gathered from publicly available documents. Mr. Epstein was born in 1953 and grew up in a middle-class family in the neighborhood of Sea Gate on Coney Island…
https://www.justice.gov/epstein/files/DataSet%209/EFTA00139235.pdf
EFTA00135591
Dataset 9
2019-08-10
16p
6,782w
…Northeast Regional Office. This reconstruction was established in accordance with Bureau of Prisons' (BOP) Program Statement 5324.08, Suicide Prevention Program.
Social History
: Mr. Epstein did not have a Pre-Sentence Report (PSR) available at the time of the reconstruction; therefore, no official information regarding
social history
was accessible. The following was gathered from publicly available documents. Mr. Epstein was born in 1953 and grew up in a middle-class family in the neighborhood of Sea Gate on Coney Island…
https://www.justice.gov/epstein/files/DataSet%209/EFTA00135591.pdf
EFTA00040941
Dataset 9
2019-08-10
16p
6,744w
…Northeast Regional Office. This reconstruction was established in accordance with Bureau of Prisons' (BOP) Program Statement 5324.08, Suicide Prevention Program.
Social History
: Mr. Epstein did not have a Pre-Sentence Report (PSR) available at the time of the reconstruction; therefore, no official information regarding
social history
was accessible. The following was gathered from publicly available documents. Mr. Epstein was born in 1953 and grew up in a middle-class family in the neighborhood of Sea Gate on Coney Island…
https://www.justice.gov/epstein/files/DataSet%209/EFTA00040941.pdf
EFTA00314176
Dataset 9
1p
65w
PRIORITY PRIVATE CARE
SOCIAL HISTORY
Tobacco Use (cigarettes) Other Tobacco Used ❑ Pipe ❑ Cigar ❑ Snuff ❑ Chew Do you drink alcohol? Number of drinks per week: Is your alcohol use a concern for you or others? ❑ Yes ❑ No Caffeine intake (cup ner day incliidinn raft'," tea and soda (please state if none) 170 East 77th Street, New York, NY 1007 EFTA00314176
https://www.justice.gov/epstein/files/DataSet%209/EFTA00314176.pdf
EFTA00301537
Dataset 9
1p
33w
Name: D.O.B: Health Update 2016 Current Medications: Medical History: Allergies to Medication: Surgical History: Hospitalizations:
Social History
: (Yes/No, How Often) Family History: Tobacco: (Status, Age, Health History) Marijuana: Mother: Alcohol: Father: Caffeine: EFTA00301537
https://www.justice.gov/epstein/files/DataSet%209/EFTA00301537.pdf
EFTA02052297
Dataset 10
2016-05-19
2p
242w
To:
Jeffrey teinUeevacationagmail.comj
…out prior to your consultation today and I need your signature. The signature is for their PMA contract which I need signed and returned BEFORE your consultation. This allows the doctor to freely speak with you about all the alternative therapies that we offer. The $10 for your PMA contract will be added to your visit. Questions on new form are: Current Medications: Medical History: Allergies to Medication: Surgical History: Hopitalizations:
Social History
: Tobacco? Marijuana? Alcohol? Caffeine: Family History: Mother…
https://www.justice.gov/epstein/files/DataSet%2010/EFTA02052297.pdf
EFTA00313910
Dataset 9
1p
140w
…you have a history of fainting or seizures? NO OYES Surgical History - Please list dates, if any: cp None Allergies - Please list Reactions: 0 None 0 Latex: 0 CBncr:
Social History
: Highest Level of Education: Occupation: Marital Status (*thy. one) estnglr O>Aarried OD.Norced OWidowed 0 Partnered Tobacco Use Alcohol Use: Illicit Drug Use Family Medical History. Current Medication with Usage: Is it okay to leave you a voicemail with possible confidential information:ONO 0 YES, PREFI Patient Signature. Date …
https://www.justice.gov/epstein/files/DataSet%209/EFTA00313910.pdf
EFTA01247277
Dataset 9
1p
105w
MIAMI-DADE COUNTY PUBLIC SCHOOLS DIVISION OF STUDENT SERVICES CASE #: 3-99-1000 MULTI-DISCIPLINARY TEAM REPORT Initial Evaluation STUDENTS NAME: SEX: female GRADE: 3rd DATE OF BIRTH: 6-7-90 SCHOOL:John I. Smith Elementary School ADDRESS:9900 NW 44th Terrace, 33178 ETHNIC ORIGIN: H HOME PHONE: 639-3250 DATE OF CURRENT EVALUATION: 5-26-99 DATE ASSESSMENT AREAS EXAMINER COMPLETED ADAPTIVE BEHAVIOR/
SOCIAL HISTORY
T. Hankerson 11-24-98 PSYCHO-EDUCATIONAL Maria Gibed A:O:311es, Ed.S…
https://www.justice.gov/epstein/files/DataSet%209/EFTA01247277.pdf
EFTA01221611
Dataset 9
24p
2,290w
…the juvenile court system? * O Yes @ No This field cannot be blank. The student
social history
was completed by: * Parent (Biological Mother and/or Father) This field cannot be blank. Can you provide proof of guardianship? * O Yes O No Please fax proof of guardianship to the Admission Office, This field cannot be blank. Required Verification EFTA01221625 El hereby verify that all information contained in this Student
Social History
is true to the best of my knowledge. I further understand…
https://www.justice.gov/epstein/files/DataSet%209/EFTA01221611.pdf
EFTA02051421
Dataset 10
2016-05-19
2p
340w
From:
Jeffrey E.
…out prior to your consultation today and I need your signature. The signature is for their PMA contract which I need signed and returned BEFORE your consultation. This allows the doctor to freely speak with you about all the alternative therapies that we offer. The $10 for your PMA contract will be added to your visit. Questions on new form are: Current Medications: Medical History: Allergies to Medication: Surgical History: Hopitalizations:
Social History
: Tobacco? Marijuana? Alcohol? Caffeine: Family History: Mother…
https://www.justice.gov/epstein/files/DataSet%2010/EFTA02051421.pdf
EFTA02090453
Dataset 10
2014-11-13
5p
1,420w
Subject:
Re: Welcome to HSS Premier!
From:
Lesley Groff
To:
HSS Premiertpremier©hss.edu]
…room, where you will also be given the option to shower midpoint in the day if you choose to do so. From your Body Composition Analysis to your Goal Specific Analysis, every portion of your evaluation will be spent with world-class clinicians who have tailored assessments based on your medical and
social history
collected before you step through the door. These personalized assessments will allow us to develop a detailed plan to best suit your goals and lifestyle. Throughout…
https://www.justice.gov/epstein/files/DataSet%2010/EFTA02090453.pdf
EFTA00311062
Dataset 9
2011-06-29
17p
6,141w
…SUPPLEMENTS & HERBS: Please list all medications, vitamins, supplements and herbs you are currently taking including dosage in the lines below: Name Dosage/Amount ALLERGIES: Please list allergies and reaction or write "NONE"(include medications, environmental agents, food, other) Allergy Reaction Allergy Reaction
SOCIAL HISTORY
: Occupation: -BA Marital Status: 6 Home: 1 story 2 story -i- entrance steps `I apartment elevator Do you tob exercise regularly? er? Involved in school sports? Are you a u id Cigarettes? tg Smokeless Tobacco? Other…
https://www.justice.gov/epstein/files/DataSet%209/EFTA00311062.pdf
EFTA00039367
Dataset 9
2019-08-10
16p
6,759w
…Northeast Regional Office. This reconstruction was established in accordance with Bureau of Prisons' (BOP) Program Statement 5324.08, Suicide Prevention Program.
Social History
: Mr. Epstein did not have a Pm-Sentence Report (PSR) available at the time of the reconstruction; therefore, no official information regarding
social history
was accessible. The following was gathered from publicly available documents. Mr. Epstein was born in 1953 and grew up in a middle-class family in the neighborhood of Sea Gate on Coney Island…
https://www.justice.gov/epstein/files/DataSet%209/EFTA00039367.pdf
EFTA00123213
Dataset 9
2019-08-10
16p
6,734w
…Northeast Regional Office. This reconstruction was established in accordance with Bureau of Prisons' (BOP) Program Statement 5324.08, Suicide Prevention Program.
Social History
: Mr. Epstein did not have a Pre-Sentence Report (PSR) available at the time of the reconstruction; therefore, no official information regarding
social history
was accessible. The following was gathered from publicly available documents. Mr. Epstein was born in 1953 and grew up in a middle-class family in the neighborhood of Sea Gate on Coney Island…
https://www.justice.gov/epstein/files/DataSet%209/EFTA00123213.pdf
EFTA00313689
Dataset 9
1p
438w
… Please shade all locations you Arthritis, Osteoporosis, Other. have pain or discomfort Surgical History: NJAL. Medications: (Use rt page V needed) Allergies to medicines: Family Histmy: (please include only Family member: Condition: I° degree relatives (parents, siblings. children)) (ag. strie't rheumatoid cribs-hit)
Social History
: What do you do for exercise? Tobacco use (cigarette, cigar, pipe, chew): Current Quit Number of alcoholic beverages per week? OcettWon: Physical requirementsTN:goosed Sitting Prolonged Standing Lifting) Travel iDrivingCompu ter Phone Childcare Employment…
https://www.justice.gov/epstein/files/DataSet%209/EFTA00313689.pdf
EFTA00359041
Dataset 9
2014-11-12
3p
1,327w
Subject:
Re: Welcome to HSS Premier!
From:
rrnailto:
To:
HSS Premier <
[email protected]
>
…if you choose to do so. From your Body Composition Analysis to your Goal Specific Analysis, every portion of your evaluation will be spent with world-class clinicians who have tailored assessments based on your medical and
social history
collected before you step through the door. These personalized assessments will allow us to develop a detailed plan to best suit your goals and lifestyle. Throughout the day we will be making very efficient use out of your time as you…
https://www.justice.gov/epstein/files/DataSet%209/EFTA00359041.pdf
EFTA00358991
Dataset 9
2014-11-11
3p
1,371w
Subject:
Re: Welcome to HSS Premier!
To:
HSS Premier <
[email protected]
>
…if you choose to do so. From your Body Composition Analysis to your Goal Specific Analysis, every portion of your evaluation will be spent with world-class clinicians who have tailored assessments based on your medical and
social history
collected before you step through the door. These personalized assessments will allow us to develop a detailed plan to best suit your goals and lifestyle. Throughout the day we will be making very efficient use out of your time as you…
https://www.justice.gov/epstein/files/DataSet%209/EFTA00358991.pdf
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