Epstein Secrets

inical reasoning or evidence for exemption: DOE Code 3 I cestift that the physical condition of this child Lt nth that immenitatiomNat indicated in Pan C above is medically caltraindicated. Physician or Clinic Name: (flint or stamp) Address: D44 610, 1196. dada= la (4Omo (SIM Maher 574.11O:MX1106)

errors in punctuation, capitalization, and spelling may impede communication. U: The writing is unrelated to the assigned topic or cannot be read. Description of Grade 10 Writing Scores 6.0: The writing focuses on the topic, Is logically organized, and includes substantial development of supporting ideas or examples

cal reasoning or evidence for exemption: DOE Code 3 I certify that he physical condition of this child is such that immunization(s) as indicated in Pan C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) Address. Physician Signature. DN 680, &NS repbces earlier ed

limited or immature. Unrelated information may be included. Frequent errors in punctuation, capitalization, and spelling may impede communication. Description of Grade 10 Writing Scores( 6.0: The writing focuses on the topic, is logically organized/and includes substantial development of supporting ideitcar examples

nical reasoning or evidence for exemption. DOE Code 3 1 cent that the physical condition of this child is such that immunization(s) as indicated in Pan C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) Physician Signature: Address: DH 680, 8/2000, obsoktm tallitt

limited or immature. Unrelated information may be included. Frequent errors in punctuation. caprulization, and spelling may impede communication. Description of Grade 10 Writing Scores 6.0: The writing focuses on the topic, is logically organized. and includes substantial development of supporting ideas or examples