"Return to Work or School Form"

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Doctor
Address
Address
Phone
RETURN TO WORK OR SCHOOL
Date
This certifies that
has been under my professional care for
and is cleared to return to work/school on:
Notes:
Signature
www.FreePrintableMedicalForms.com
Doctor
Address
Address
Phone
RETURN TO WORK OR SCHOOL
Date
This certifies that
has been under my professional care for
and is cleared to return to work/school on:
Notes:
Signature
www.FreePrintableMedicalForms.com
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