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Wisconsin Department of Public Instruction PHYSICIANS STATEMENT HOUSEBOUND INSTRUCTION PI2217 (Rev. 1004) INSTRUCTIONS: PhysiciansComplete this form and mail it to the students school district. The
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Pi-2217 physicians statement is a form that must be completed by physicians to provide information about a patient's medical condition.
Physicians are required to file pi-2217 physicians statement.
Pi-2217 physicians statement can be filled out by providing details about the patient's medical condition, treatment plan, and prognosis.
The purpose of pi-2217 physicians statement is to document and communicate important medical information about a patient.
Information such as the patient's medical history, current diagnosis, treatment plan, and prognosis must be reported on pi-2217 physicians statement.
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