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Longmeadow

Primary school

As a Parent/Carer, you should fill in this form if you want to take your child out of school during term time for a medical appointment.

Medical absence - for hospital appointments or emergency doctor, dentist or opticians. (Please provide the office with a copy of the hospital letter etc This is the parents responsibility and in some cases without the letter the session will be marked as unauthorised)

Type of Appointment:*
I agree to provide Medical evidence - a copy of the hospital letter etc) This is the parents responsibility and in some cases without the letter the session will be marked as unauthorised*

Please type the letters and numbers displayed in the image into the textbox below to verify you wish to send this response. If you have difficulties reading the letters in the image below you can try a different image by clicking on it.

Verification Image