CROSS TIMBERS COMMUNITY HEALTH CENTER 110 West …
CROSS TIMBERS COMMUNITY HEALTH CENTER 110 West Reynosa De Leon, TX 75486 (265) 839-5687
DOCTOR EXCUSE SLIP
Date: ________________________ This is to clarify that _____________________________ (has had) an appointment at ________________________ o' clock. ___________________________________ please excuse this absent. _____________ May return to work on _______________________. ____________ No P.E until released. ______________ May return to work without limitations.
______________________________ Physicians Signature
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