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Get Certification Of Health Care Provider Form North Carolina

E attached sheet describes what is meant by a serious health condition under the Family and Medical Leave Act. Does the patient s condition1 qualify under any of the categories described? If so, please check the applicable category. (1) 4. (2) (3) (4) (5) (6) , or None listed Describe the medical facts which support your certification, including a brief statement as to how the medical facts meet the criteria of one of these categories:.

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