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E authority as a medical professional. Below are guidelines for completing the form correctly to establish and maintain this authorization. 1) The Santa Barbara Unified School District does not accept any CIVF that does not have the expected frequency of episodes, length of absence, diagnosis, appropriate symptoms listed, Physician s or Medical Group letterhead/business card attached and appropriate signature(s). Please return the form to parent for completion. 2) The school site may fax the C.

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