DOJ-OGR-00026154.jpg
DOJ-OGR-00026154.jpg
Why This Matters
The image shows a document titled "Department of Corrections Medication Request" at the top left corner.
AI-Generated Summary
The image shows a document titled "Department of Corrections Medication Request" at the top left corner. It is a form that includes several checkboxes and lines for information entry. There are two visible sections with checkmarks: one labeled "New Prescription" and another labeled "Change in Dosage/Frequency." At the bottom right, there's a signature within a box labeled "Signature of Patient or Legal Guardian." The form also includes spaces for date and time, but these are not filled out. There is no text indicating people or locations, and the document itself appears to be a standard office paper with visible creases and folds.
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