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Then the services will be terminated at the discretion of the Superintendent s Designee in consultation with the school principal. If homebound services are terminated the student shall remain enrolled in school as long as they are eligible to do so. Diagnosis Special Instructions if any Physician s Signature Both sections to be completed by physician for Pregnant and/or Parenting Students Estimated Delivery date Parenting Mother yes no or Newborn Child yes no Please explain Please Print...
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Exhibit 3280-e is a form required by the Securities and Exchange Commission (SEC) for certain financial disclosures.
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