PAL Doctor's Medical Release 2016-17.doc - saccds: Fill out & sign online

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Click ‘Get Form’ to open the document in our editor.
Begin by entering the student’s name in the designated field where it states 'I certify that ________ (student) is healthy and has no restrictions for participating in sports.'
Next, locate the section for the doctor's information. Fill in the doctor’s name clearly in the 'Doctor’s Name (please print)' field.
Provide the doctor's phone number in the corresponding field labeled 'Doctor’s Phone Number'.
Ensure that the doctor signs in the 'Doctor’s Signature' area and includes the date of signing in the 'Date' field.
Finally, review all entries for accuracy before saving or printing your completed form to submit it to your school office.

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