PHYSICIAN’S SECTION Sample Clauses

PHYSICIAN’S SECTION. TO THE PHYSICIAN: Your patient is a teacher with the Chignecto-Central Regional School Board. The teacher has been absent from work due to illness since . (INSERT DATE) The Board requires information regarding the teacher's current medical condition. Please complete this form only if you have treated the teacher during the illness in question, or have predetermined medical information that this individual has been ill since that date specified above. Your cooperation is appreciated. The teacher will require a receipt for any fee charged for obtaining this medical information.
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PHYSICIAN’S SECTION. TO THE PHYSICIAN: Your patient is a teacher with the Atlantic Provinces Special Education Authority. The teacher has been absent from work due to illness since . The Board requires information regarding the teacher’s current medical condition. Please complete this form only if you have treated the teacher during the illness in question, or have predetermined medical information that this individual has been ill since that date specified above. Your cooperation is appreciated. Any fee applicable to your completing this form should be billed directly to the Atlantic Provinces Special Education Authority.

Related to PHYSICIAN’S SECTION

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