Common use of TO BE COMPLETED BY MEDICAL PRACTITIONER PROVIDING THE TREATMENT Clause in Contracts

TO BE COMPLETED BY MEDICAL PRACTITIONER PROVIDING THE TREATMENT. The teacher is asking for an exemption from the Xxxxx Haldimand Norfolk Catholic District School Board’s transfer procedures. Do you support the request for exemption from transfer based on medical limitations? Yes No

TO BE COMPLETED BY MEDICAL PRACTITIONER PROVIDING THE TREATMENT. The teacher is asking for an exemption in the upcoming school year from the Xxxxx Haldimand Norfolk District Catholic District School Board’s procedure for school transfer proceduresas a result of having to be near an immediate family member due to an ongoing critical medical need. Do you support the request for exemption from transfer based on medical the family member’s limitations? Yes No

TO BE COMPLETED BY MEDICAL PRACTITIONER PROVIDING THE TREATMENT. The teacher is asking for an exemption from the Xxxxx Haldimand Haldimand-Norfolk Catholic District School Board’s transfer procedures. Do you support the request for exemption from transfer based on medical limitations? Yes NoG No G

TO BE COMPLETED BY MEDICAL PRACTITIONER PROVIDING THE TREATMENT. The teacher is asking for an exemption from the Xxxxx Haldimand Norfolk Catholic District School Board’s transfer procedures. Do you support the request for exemption from transfer based on medical limitations? Yes NoG No G

TO BE COMPLETED BY MEDICAL PRACTITIONER PROVIDING THE TREATMENT. The teacher is asking for an exemption in the upcoming school year from the Xxxxx Haldimand Haldimand- Norfolk District Catholic District School Board’s procedure for school transfer proceduresas a result of having to be near an immediate family member due to an ongoing critical medical need. Do you support the request for exemption from transfer based on medical the family member’s limitations? Yes NoG No G

TO BE COMPLETED BY MEDICAL PRACTITIONER PROVIDING THE TREATMENT. The teacher is asking for an exemption in the upcoming school year from the Xxxxx Haldimand Norfolk District Catholic District School Board’s procedure for school transfer proceduresas a result of having to be near an immediate family member due to an ongoing critical medical need. Do you support the request for exemption from transfer based on medical the family member’s limitations? Yes NoG No G