Free Doctor's Note For Service Dog Template
Doctor's Note for Service Dog
Date: May 29, 2075
To Whom It May Concern,
I am writing this letter to confirm that [Patient Name], born on January 15, 2050, is under my care and requires the assistance of a service dog for medical purposes.
The patient suffers from post-traumatic stress disorder (PTSD), which significantly impairs his ability to perform certain tasks or functions without assistance. A service dog has been deemed necessary to mitigate the effects of this condition and improve the patient's quality of life.
This service dog, named Buddy, is trained to perform specific tasks directly related to The patient's disability, including but not limited to providing emotional support during panic attacks, alerting to triggers, and creating personal space in crowded environments. These tasks are essential for The patient's safety and well-being.
I hereby request that The patient be allowed to have his service dog accompany him at all times according to the relevant laws and regulations regarding service animals.
If you require further information or documentation regarding The patient's need for a service dog, please do not hesitate to contact me at [Your Company Email] or [Your Company Number].
Sincerely,
Dr. [Your Name]
[Your Company Name]