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Example to Another Bank to Release a Vehicle Title in Louisiana Form
Minimum thickness and similar physical properties to
protect in injury as directed in writing by a licensed medical physician..
Note to physician:
Please fill this form out in its entirety. Any portion not completed will invalidate this form
causing the officials to refuse the athlete participation.
FORM MUST INDICATE DATES THE ATHLETE IS ABLE TO PLAY VHSL FOOTBALL WITH HARD
CAST SPLINT APPLIANCE.
Please discuss with the athletic trainer any special instructions or requests regarding the...
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