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This document is a notification regarding patient Spencer Theriot, who was seen on 02/26/26 and advised to remain out of school/work until 03/02/26, contingent on signs of improvement. It includes contact information for various Community Health Center locations. The letter is signed by JoAnna H. Bledsoe, APRN.

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Spencer Theriot
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0% found this document useful (0 votes)
7 views1 page

Note Template

This document is a notification regarding patient Spencer Theriot, who was seen on 02/26/26 and advised to remain out of school/work until 03/02/26, contingent on signs of improvement. It includes contact information for various Community Health Center locations. The letter is signed by JoAnna H. Bledsoe, APRN.

Uploaded by

Spencer Theriot
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Administrative: This letter is to inform you that this patient was seen

635 Main Street


today: 02/26/26.
Middletown, CT 06457
860.347.6971
Locations:
CHC of Bristol The patient has been advised to remain out of school/work
395 North Main Street Bristol, CT 06010 on: 02/26/26 and may return on: 03/02/26 so long as he
860.585.5000 is showing signs of improvement.
CHC of Clinton
114 East Main Street
Clinton, CT 06413
860.664.0787
CHC of Danbury If you have any questions or concerns, please feel free to
8 Delay Street Danbury, CT 06810 contact the office.
203.797.8330
CHC of Enfield
5 North Main Street Enfield, CT 06082
860.253.9024
CHC of Groton
481 Gold Start Highway Groton, CT 06340
860.446.8858
Connecticut Sincerely,
Pediatrics @ CHC
76 New Britain Avenue Hartford, CT 06106
860.547.0970
CHC of Meriden
134 State Street Meriden, CT 06450
203.237.2229
CHC of Middletown
675 Main Street,
Middletown, CT 06457
860.347.6971
CHC of New Britain
85 Lafayette Street
New Britain, CT 0605
860.224.3642 JoAnna H. Bledsoe, APRN
CHC of New London
One Shaw’s Cove
New London, CT 06320
860.447.8304
CHC of Norwalk at
Day Street
49 Day Street
Old Saybrook, CT 06475
860.388.4433
CHC of Stamford at Franklin
Street 141 Franklin Street Stamford, CT 06901
203.969.0802
CHC of Stamford at
Fifth Street
22 Fifth Street Stamford, CT 06905
02/26/2026

Community Health Center, Inc.

Certification to Return to School/Work

Patient: Spencer Theriot

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