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International Baccalaureate Diploma
Staff & Student Secure Section

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International Baccalaureate Diploma
Staff & Student Secure Section

Year 7 - Request to attend Medical Appointment
Year 8 - Request to attend Medical Appointment
Year 9 - Request to attend Medical Appointment
Year 10 - Request to attend Medical Appointment
Year 11 - Request to Attend Medical Appointment
Year 12 &13-Request to attend Medical Appointment

Year 7 - Request to attend Medical Appointment

Please complete the form below and attach evidence of a medical appointment.

First name of child:* Surname of child:* Form class (e.g. 7T6):* Date of appointment:* Time of appointment:* Time student needs to leave the Academy:* Time student will return to the Academy:* Parent name:* Parent E-mail:* Evidence of Appointment (letter, photo of appointment card, text message or email: ( please note that the form will not submit without this evidence)* No file chosen Any other comment (Optional)

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