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Get NYC OP 198 1993-2022

Ame Tel~one Date Signature of Phvsician, (If other than M.D.,-'p!ofessional title is: .) V. To be Completed by Medical Division and Returned to School as Necessary: Medical Recommendation Submitted as Noted Subject to All Administrative Requirements , M.D. 1 -Medicalir From Ap proved To 1 -MedicallY From Dis~oved To -Ordinary Illness (Item A or Item D) -Enumerated Children's Disease (Item B) -Alleged Line of Duty Accident (Item C) -Other -Individual not to return to duty without further .

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