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Get Employee Medical Information Form

Authorization Section: EMPLOYEE Action Section: By signing below, you authorize your health care provider to release medical information for the purpose of determining compliance to Royal Roads University sick-leave entitlements and specifics around possible accommodations for disabilities. Forward completed form to: Royal Roads University, Human Resources 2005 Sooke Road, Victoria BC V9B 5Y2 Employee Name: Fax: (250) 391-2570 Employee Signature: Date Received: Ph: (250) 391-2600 ext 44.

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