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UA: 78/14 Index: MDE 13/016/2014 Mandate: 2 April 2014URGENT ACTION JAILED CLERIC SERIOUSLY ILL, DENIED TREATMENT The health of jailed Iranian cleric Stayed Hossein Baseman Boroujerdi, a prisoner
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Begin by gathering all necessary information about the jailed cleric who is seriously ill.
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Fill out the required personal information such as full name, date of birth, and identification number, if applicable.
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Provide details about the cleric's current health condition, including any diagnosed illnesses or medical conditions.
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Include information about the specific jail or detention facility where the cleric is held.
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Mention any special medical needs or treatments required by the cleric, such as medication or access to healthcare professionals.
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If applicable, mention any additional documents or medical reports that need to be submitted along with the form.
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Relatives or family members of the jailed cleric who is seriously ill may need to fill out this form to request appropriate medical attention for their loved one.
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The jail or detention facility management may require the form to be completed by individuals seeking permission for medical visits or specific treatments for the jailed cleric.
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Jailed cleric seriously ill refers to a situation where a cleric who is currently imprisoned is suffering from a serious illness.
The prison authorities or relevant medical personnel are required to report on the jailed cleric seriously ill.
To fill out jailed cleric seriously ill, the reporting party must provide detailed information about the cleric's illness, treatment, and any necessary accommodations.
The purpose of reporting jailed cleric seriously ill is to ensure appropriate medical care and accommodations are provided to the cleric while incarcerated.
The reported information on jailed cleric seriously ill should include the cleric's medical condition, treatment plan, any restrictions or accommodations needed, and updates on the illness.
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