Orthopaedic Hospital
Medical Magnet
High School

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Absent Notes

Please complete the form below. Required fields marked with an asterisk *

Parents may use this form as an absent note for student's with uncleared absences.

If you have a doctor's note, you may submit it at the bottom.

Student Information

First Name*

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Middle Name

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Last Name*

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Date of Birth*

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Parent Information

First Name*

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Middle Name

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Last Name*

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Phone Number*

Number Required

Absence

Date of Absence (MM/DD/YY)*

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Documentation of Absence (photo of note)

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Choose a file or drag it here.

Reason for Absence (if no documentation provided)

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