Free Doctor’s Note for Jury Duty Template
Doctor’s Note for Jury Duty
Date: September 12, 2085
To Whom It May Concern,
This letter is to certify that Carmel Ryan (DOB: June 14, 2050) has been under my medical supervision at [Your Company Name] for acute lower back pain. Her condition has resulted in significant discomfort and limited mobility, preventing her from fulfilling her obligations, including attending jury duty.
Due to the nature of Carmel's injury, I have advised her to refrain from any activities that involve prolonged sitting, standing, or heavy lifting, all of which are typically required during jury service. As such, she is unable to participate in jury duties scheduled from October 1, 2085, to October 5, 2085.
Carmel is currently undergoing a comprehensive treatment plan, including physical therapy and a tailored pain management program. Her progress will be closely monitored, and she is scheduled for a follow-up examination on October 6, 2085.
Please excuse her from jury duty during this time. If any further details or confirmation of her condition are required, do not hesitate to reach out to my office at the contact information provided below.
Sincerely,
[Your Name]
[Your Email]
[Your Company Name]
