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Doctor/Dentist/ Professional Excused Absence (School Name) (Provider Name) This is to confirm that was absent from school on (Child s Name) from a.m./p.m. to (Dates) a.m./p.m. for medical/dental/professional reasons. This child appeared for an appointment in this office on (Date) This child is permitted to return to school on (Date) Limitations/Remarks:
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