Get Attending Physician39s Statement - Schulich School Of Business

Filling out the Attending Physician’s Statement is an essential step for BBA/iBBA students who have missed an examination and are seeking special consideration due to medical reasons. This guide will provide you with clear, step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to effectively complete the Attending Physician’s Statement online.

1. Press the ‘Get Form’ button to obtain the Attending Physician’s Statement and open it in the document editor.
2. Complete Section I, which is for student information, by filling in your student number, program, last and first name, telephone number, and email address.
3. In Section I, review the consent statement regarding personal health information and provide your signature and date to authorize the disclosure of necessary medical information.
4. If applicable, complete Section II by entering details about the course(s) related to your examination request, including course code, instructor, and exam date and time.
5. Proceed to Section III to provide physician information. Enter the physician's, psychiatrist's, or counsellor’s name, address, city, province, postal code, and telephone number.
6. Complete the degree and dates of incapacitation portion. Indicate the dates of consultation and check the appropriate boxes regarding the severity of incapacitation affecting your ability to study.
7. In Section B, provide any comments that may help clarify your condition, including symptoms, effects of medications, and other consultation dates if applicable.
8. Ensure the physician provides their CPSO registration number, their stamp, signature, and the date when signing off on the statement.
9. Review all sections for accuracy, ensuring all required information is completed and correct.
10. Once the form is complete, save your changes, and prepare to download, print, or share the completed document as needed for submission.

Complete your documents online with confidence and ensure a smooth submission process.