Student Petition Medical Support Form - Florida International ... 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name and Panther ID in the designated fields at the top of the form.
  3. Specify the relevant time period and affected semester(s) that relate to your medical issue.
  4. Indicate whether the medical problem pertains to you or an immediate family member by circling the appropriate option.
  5. Request your healthcare provider to release information by filling in their name and signing where indicated.
  6. Ensure that your healthcare provider completes their section, providing necessary details about your treatment and any impact on your studies.
  7. Review all entries for accuracy before saving and submitting the completed form back to OneStop at Florida International University.

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