Free Doctor Note for Food Allergies Template
Doctor Note for Food Allergies
Date: May 29, 2070
To Whom It May Concern,
This is to certify that [Patient Name], born on January 15, 2050, has been under my care for the management of food allergies.
The patient has a confirmed history of allergic reactions to peanuts, shellfish, and dairy, which may include symptoms such as hives, swelling of the lips and tongue, and difficulty breathing.
Due to the severity of the patient's allergies, they must avoid all contact with peanuts, shellfish, and dairy to prevent potentially life-threatening reactions.
As part of their management plan, the patient has been advised to carry an epinephrine auto-injector at all times and to seek immediate medical attention if exposed to peanuts, shellfish, or dairy.
Please feel free to contact me at [Your Company Email] or [Your Company Number] if further information is required.
Respectfully,
Dr. [Your Name]
[Your Company Name]
