This patient was seen today in my office.
ATTENDANCE
__No attendance until further notice
Return to school date with restrictions:___________
Activity
Physical education __Full __Splint must be worn __Not until further notice
Contact Sports __Full __Splint must be worn __Not until further notice
Swimming __Full __Splint must be worn __Not until further notice
Writing __Full __Splint must be worn __Not until further notice
Resume all normal activities on _______