Free Doctor Note For Back Pain Template
Doctor Note for Back Pain
Date: January 9, 2070
To whom it may concern,
I am writing on behalf of my patient, Philip Mitchell (DOB: April 6, 2030, Contact: 222 555 7777). Philip has been under my care since January 1, 2051, for complaints of significant back pain.
Following a thorough physical examination and appropriate diagnostic testing, Philip has been diagnosed with Lumbar Spinal Stenosis, a condition resulting in severe back pain. This medical issue substantially impairs his ability to carry out tasks that demand physical exertion. Activities such as heavy lifting, prolonged standing, extended walking, and repetitive bending are particularly problematic and should be avoided.
For his treatment and recovery, I have recommended that Philip limit strenuous physical activities, especially those that could further aggravate his lower back. It is essential that he adheres to these restrictions to prevent worsening of his condition and to promote effective rehabilitation.
At this time, he is advised to avoid any work that involves manual labor, or extended periods of standing or walking, until further evaluation and medical clearance are provided.
Should you need any additional information or require clarification regarding Philip’s condition, treatment plan, or necessary accommodations, please do not hesitate to contact me at the number listed below.
Thank you for your understanding and your cooperation in ensuring a supportive work environment, which will be key to his recovery and long-term health.
Sincerely,
[Your Name]
Physician
[Your Email]
