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Please do not ask court staff to contact your medical provider. I request to be excused from jury service for this year only.I have a permanent physical or mental disability. Any of the following persons may serve on juries in civil and criminal cases but shall be exempt from jury service upon his request: 1. If a prospective juror does not have a physician or RNP, a professional caregiver may complete this form. You need to submit a letter from your healthcare provider stating due to a medical condition you are unable to serve at this time. You should ask your physician to fax a medical excuse to the jury office at 410-778-7412. Please do not bring children with you for jury service. Can I be excused if I feel I am medically unable to serve? Excuses will be granted ONLY for reasons of compelling personal hardship.