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AGENCY
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AGENCY DR#
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OKAY TO BOOK
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Jail Clearance: You have been evaluated today for an illness and or injury that may require special
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attention while you are in jail. It appears that your condition is stable at this time. You have been
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medically cleared for jail.
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Follow all special advice given regarding the illness and or injury present.
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Notify jail personnel if there is any worsening of your symptoms or if new symptoms appear.
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When you are released from jail follow up with your own medical doctor.
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EVALUATED FOR
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LIMITATIONS IF ANY
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New Free Draw
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