Get Laurier Verification Of Illness Form

Filling out the Laurier Verification of Illness Form online is essential for students seeking academic accommodations due to illness. This guide offers straightforward instructions to ensure you complete the form accurately and effectively.

Follow the steps to complete the form seamlessly.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Enter your full name in the designated field labeled 'Student Name.' This ensures your identification is clear and associated with your request.
3. Input your student ID number in the available space. Providing your ID number helps the university verify your records.
4. Fill in the 'Date and Time seen' field with the date and time of your medical appointment. This information is crucial in establishing the context of your illness.
5. Indicate whether your condition is an acute or chronic problem by selecting the appropriate option. This classification plays a role in how the university assesses your case.
6. Record the 'Date of onset' of your illness or the date of the most recent episode for chronic conditions. This helps in understanding the timeline of your issue.
7. Estimate the expected 'time of recovery' in the corresponding field. Providing an estimate can assist the university in planning accommodations.
8. Select the basis of your assessment from the provided options: an examination by yourself, another medical facility, or a description by the student. This is important for transparency.
9. Indicate if you are fully recovered at the present time by marking 'yes' or 'no.' This is critical information for your case assessment.
10. Use the 'Additional Comments' section to provide any extra pertinent details regarding your situation. This can include specific limitations or recommendations.
11. Fill in the 'Physician's Name, Address, and Telephone number' or attach their stamp where indicated. This adds credibility to your form.
12. Ensure your physician signs the form and includes the date of signature. This authentication is necessary for the university's records.
13. You, as the student, must provide your signature and date on the form. This confirms your consent for the doctor to release information.
14. Finally, review all the information you've entered for accuracy. Once confirmed, you can save changes, download, print, or share the form as required.

Complete your Laurier Verification of Illness Form online today to ensure your academic needs are met.