Free Medical Clearance Letter Template

Medical Clearance Letter


[Your Name]
[Clinic Name]
[Clinic Address]

December 17, 2050

To Whom It May Concern,

RE: Medical Clearance for Participation
Patient: Mr. James Smith

I am writing to confirm that Mr. James Smith, a 39-year-old male, has undergone a comprehensive medical evaluation at our clinic on December 15, 2050. Based on the results of his physical examination, medical history, and relevant diagnostic tests, he is deemed fit to participate in recreational sports activities and light occupational duties.

Summary of Examination:

  • Vital Signs:

    • Blood Pressure: 124/78 mmHg

    • Pulse: 72 bpm, regular

    • Respiratory Rate: 16 breaths/min

    • BMI: 24.5 (Normal range)

  • Cardiovascular System: Normal heart sounds, no murmurs detected.

  • Respiratory System: Lungs clear to auscultation, no abnormalities.

  • Musculoskeletal System: Full range of motion and strength noted.

  • Neurological System: No deficits observed.

Additional Tests Performed:

  • Resting Electrocardiogram (ECG): Normal sinus rhythm.

  • Complete Blood Count (CBC): Within normal limits.

  • Lipid Panel: Normal cholesterol levels.

Based on the above findings, Mr. James Smith is cleared for full participation without any restrictions. Should any medical concerns arise in the future, I recommend a follow-up evaluation.

If you require any additional information or clarification, please feel free to contact me at the above-listed phone number or email.

Thank you for your attention.

Sincerely,

[Your Name]

Primary Care Physician
[Clinic Name]

[Your Email]

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