A letter from the Bureau of Indian Affairs in Muskogee, Oklahoma, dated March 3, 1849, addressed to Hon. Carl Albert, discusses a resolution requesting an extension of medical services in Ottawa County. The letter mentions that Indian health services fall under the jurisdiction of the U.S. Public Health Service and that the extension of medical services will be determined by the Indian Health Area Director in Oklahoma City. The Bureau appreciates the interest in the Indians of Eastern Oklahoma and Ottawa County and promises cooperation.