Medical Excuse Form - Kenton County Schools 2025

1. Click ‘Get Form’ to open the Medical Excuse Form in the editor.
2. Begin by entering the student's name and date of birth in the designated fields at the top of the form.
3. Authorize the health care provider to release information by signing in the provided space. Ensure you include the date of appointment and time.
4. Fill in the total number of absences, along with time in and time out for the appointment.
5. Specify the reason for the appointment, such as a routine visit or emergency, in the comments section.
6. Indicate whether it was medically necessary for your child to be absent on that date by checking 'Yes' or 'No'.
7. If applicable, answer if your child will need to be absent more than one day and provide details on how long.
8. Complete the health care provider's information including name, address, phone number, and fax number before signing off with their signature and date.

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