Lto medical certificate form 2025

1. Click ‘Get Form’ to open the lto medical certificate form in the editor.
2. In the first section, enter your student number and provide your name where indicated. This authorizes the physician to share necessary information with the University.
3. Sign and date the authorization section to confirm your consent for the physician to disclose your medical information.
4. Next, the physician will complete their section. They should fill in their name, signature, registration number, and contact details.
5. The physician must indicate whether your condition is acute or chronic and provide details about the onset of your problem.
6. Select from the list of reasons why you could not fulfill academic responsibilities, including options like mobility impairment or mental health concerns.
7. Finally, specify how long you were unable to complete academic responsibilities by checking the appropriate box.

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