doctors-note-template-1-2.docx - Alaska Regional Hospital Dr Heather Callaway 2801 Debarr Rd Anchorage AK 99508 907-276-1131 Doctor Excuse Form

doctors-note-template-1-2.docx - Alaska Regional Hospital...

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Alaska Regional Hospital Dr. Heather Callaway, 2801 Debarr Rd , Anchorage, AK 99508 907-276-1131 Doctor Excuse Form Certificate for school or work: _ Jordan D. Escalera _______________ was under my care on _ December 27, 2015 to January 5, 2015 ______ he/she will be able to return to school/work on __ January 7, 2015 _________
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