Sample Doctors Note For Student



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 Other: Thank you, Your Friends at Paradigm Care Enrichment Center To be filled out by Doctor: Date the above named child was seen by Doctor for the above symptoms Diagnosis for the above named child (we are required by Michigan State Day Care Licensing to confidentially post this to parents of all students in our program) Date the above named child is no longer contagious and can return to school/daycare Special Instructions: Physicians Signature Physician’s office stamp (REQUIRED TO RETURN TO SCHOOL).

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