Free Doctor Note For Disability Template
Doctor Note for Disability
Date: March 1, 2051
To Whom It May Concern,
This letter is to certify that [Patient's Name] has been under my care for a medical condition that qualifies as a disability. After a comprehensive medical evaluation, it has been determined that my patient is unable to perform work-related duties effectively from March 1, 2051, to September 1, 2051.
The following accommodations are recommended to support [Patient's Name] during this period:
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Modified work schedule to allow for medical appointments and rest.
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Provision of assistive devices as needed to aid in mobility and daily tasks.
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Reduction in physically demanding tasks.
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Access to a quiet space for rest and recovery during the workday.
We request your understanding and cooperation in providing the necessary support and accommodations. If further information or clarification is required, please do not hesitate to contact our office.
Thank you for your attention to this matter.
Sincerely,
[Your Name]
Specialist in Occupational Medicine
[Your Company Name]
