“Trump is falling concerningly short of any standard of fitness for office and displaying alarming characteristics of declining acuity,” the 238 signatories wrote in a letter dated Oct. 13 and first obtained by CBS News. “In the limited opportunities we can examine his behavior, he’s providing a deeply concerning snapshot.”

The letter was organized by the group “Doctors for Harris,” which is unaffiliated with Harris’ campaign. The doctors and nurses note that presidential candidates have traditionally disclosed their medical records, including Arizona Sen. John McCain, who did so during his 2008 presidential campaign. In his 2020 race against President Biden, Trump released results of his physical in the June before Election Day.

The letter noted that absent detailed health records, “we are left to extrapolate from public appearances.”

“As we all age, we lose sharpness and revert to base instincts. We are seeing that from Trump, as he uses his rallies and appearances to ramble, meander, and crudely lash out at his many perceived grievances,” the doctors wrote.

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