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DOCTOR/DENTIST EXCUSE
For
Effingham County Schools
This form is used to provide schools with information concerning a student’s doctor
appointment as well as information about the length of time a student should be excused
from attending school.
Date: ________________
This is to certify __________________________________________________
(Student’s Name)
Appeared in my office at ____________(a.m. or p.m.) for an appointment.
The appointment was over by _________ (a.m. or p.m.).
The student should be excused for ___________________________________ (dates).
This student may return to school on _____________________________.
___________________________
(Doctor’s Name)
DOCTOR/DENTIST EXCUSE
For
Effingham County Schools
This form is used to provide schools with information concerning a student’s doctor
appointment as well as information about the length of time a student should be excused
from attending school.
Date: ________________
This is to certify __________________________________________________
(Student’s Name)
Appeared in my office at ____________(a.m. or p.m.) for an appointment.
The appointment was over by _________ (a.m. or p.m.).
The student should be excused for ___________________________________ (dates).
This student may return to school on _____________________________.
___________________________
(Doctor’s Name)
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People don’t believe what you tell them. They rarely believe what you show them. They often believe what their friends tell them. They always believe what they tell themselves. | Seth Godin