Laurier verification of illness form 2025

1. Click ‘Get Form’ to open the laurier verification of illness form in the editor.
2. Begin by entering your name in the 'Student Name' field. This identifies you as the individual requesting accommodations.
3. Fill in the 'Date and Time seen' section to provide context for your medical assessment.
4. Indicate whether your condition is acute or chronic by selecting the appropriate option.
5. Provide the 'Date of onset' or most recent episode if chronic, along with an estimated time of recovery.
6. Select how the assessment was made: through your examination, another medical facility, or a description by you.
7. State whether you are fully recovered by marking 'yes' or 'no'.
8. Add any additional comments that may be relevant to your situation in the provided space.
9. Complete the physician’s information section, including their name, address, and telephone number or stamp.
10. Ensure that both you and your physician sign and date the form where indicated before submission.

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