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Get University Of Washington Health Care Provider Verification Form For Tuition Forfeiture Petition 2004-2024

T INSTRUCTIONS TO THE HEALTH CARE PROVIDER: In order to consider a petition for a waiver of tuition forfeiture fees, the University of Washington, Seattle requires documentation from a licensed Health Care Provider verifiying a current condition that prevents the student from attending the University during this quarter. Please provide the following information along with a business card or piece of letterhead after the student/patient has completed the release consent at the bottom of this for.

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