A right hand, with dark skin, is depicted holding a clear multi-color ballpoint pen over a white paper form

A right hand, with dark skin, is depicted holding a clear multi-color ballpoint pen over a white paper form. The pen, featuring visible red, orange, and green ink cartridges within its transparent barrel, is poised for writing. The form includes printed sections such as 'SUPERVISORY VISIT OVERSIGHT,' 'Vital Signs: BP,' and 'Orientation: Time [] Person [] Place [] Individ,' with partial handwritten text including '4994 Cedar' and 'Andrew.' A black silicone wristband inscribed with 'Psalm 46:5' in white lettering is worn on the forearm. The documents rest on a dark, flat surface within an indoor setting, characterized by a blurred background showing a light-colored wall or door frame. The specific city of Loganville, United States, cannot be visually confirmed from the image content.