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Real Doctors Note For Work

This medical excuse form provides a student's name and asks a doctor to verify the student's appointment by filling in arrival and departure times from the office. The doctor must also sign the form to confirm the student's appointment before returning it to the school attendance office.

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Alaska James
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12K views1 page

Real Doctors Note For Work

This medical excuse form provides a student's name and asks a doctor to verify the student's appointment by filling in arrival and departure times from the office. The doctor must also sign the form to confirm the student's appointment before returning it to the school attendance office.

Uploaded by

Alaska James
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
  • Medical Excuse Form

MEDICAL EXCUSE

Date __________________________

Student’s Name ____________________________________

The above named students has been excused from school for an appointment with your office.
Please complete the following and have the student return it to school. This form can also be
faxed to 278-3624.

Thank you for your cooperation.

Attendance Office
********************* *********************
Please print or stamp doctor’s name and facility location.
Approximate Time Arrived at Office _______________
Approximate Time Left Office _______________

Doctor’s Office Signature ________________________________________________

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