Free Doctor Note for Surgery Template

Doctor Note for Surgery


Date: January 15, 2050

To Whom It May Concern,

This letter is to certify that [Patient Name] has been under my care for a surgical procedure performed on January 10, 2050. Due to the nature of the surgery, the patient is required to take a medical leave of absence from work.


The patient is expected to be incapacitated and unable to perform work-related duties from January 10, 2050, to January 24, 2050. During this period, the patient must have complete rest and follow the prescribed post-operative care to ensure a full recovery.

Should there be any need for further information or clarification, please feel free to contact our office at [Your Company Number] or via email at [Your Company Email].

Thank you for your understanding and cooperation.

Sincerely,

Dr. [Your Name]
[Your Company Name]

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