Free Simple Doctor Note For Work Template

Simple Doctor Note for Work


Date: July 10, 2050

To Whom It May Concern,


This is to certify that the patient named [Patient's Name], Date of Birth: 15th March 2020, Contact Information: 222 555 7777 was examined in the [Your Company Name].

The medical assessment performed on the patient diagnosed the presence of influenza. It is a condition that needs adequate rest and absence from environments that may further deteriorate the health of the patient or may lead to the spreading of the condition.

Therefore, kindly permit the patient to take a leave of absence from work for 5 days, starting on 11th July 2050, to recover fully from the diagnosed health condition.

Their well-being would assist in their returning to work more actively. In case of any queries or need for further information, please feel free to contact me on my provided contact details.

Thank you for your understanding and cooperation.


Sincerely,


[Your Name]
[Your Company Name]

[Your Company Address]

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