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Doctor Excuse Slip: Cross Timbers Community Health Center 110 West Reynosa de Leon, TX 75486 (265) 839-5687

This doctor's excuse slip summarizes a patient's appointment at the Cross Timbers Community Health Center in De Leon, TX. It provides the date of the appointment, time, and either excuses the absent from work/school or places limitations until a specified return date. The physician signs the bottom to verify the details of the appointment.

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Ryan Kirk
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3K views1 page

Doctor Excuse Slip: Cross Timbers Community Health Center 110 West Reynosa de Leon, TX 75486 (265) 839-5687

This doctor's excuse slip summarizes a patient's appointment at the Cross Timbers Community Health Center in De Leon, TX. It provides the date of the appointment, time, and either excuses the absent from work/school or places limitations until a specified return date. The physician signs the bottom to verify the details of the appointment.

Uploaded by

Ryan Kirk
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

CROSS TIMBERS COMMUNITY HEALTH CENTER

110 West Reynosa

De Leon, TX 75486

(265) 839-5687

DOCTOR EXCUSE SLIP

Date: ________________________

This is to clarify that _____________________________ (has had) an appointment at


________________________ o' clock.

___________________________________ please excuse this absent.

_____________ May return to work on _______________________.

____________ No P.E until released.

______________ May return to work without limitations.

______________________________

Physicians Signature

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