Free Eye Doctor’s Note Template

Eye Doctor’s Note

Date: September 12, 2090

To Whom It May Concern,

This letter serves to confirm that Dell Stokes (DOB: May 8, 2050) has been under my care at [Your Company Name] for an eye examination and subsequent treatment. Dell was diagnosed with acute conjunctivitis (pink eye) on September 10, 2050.

Due to the highly contagious nature of conjunctivitis and the intensity of his symptoms, which include redness, itching, swelling, and discharge, Dell has been strongly advised to avoid close contact with others. He should also limit screen time to minimize additional eye strain. To assist in his recovery, he has been prescribed antibiotic eye drops and is scheduled for a follow-up evaluation on September 15, 2090.

In light of his condition, Dell is advised to take a leave of absence from work/school to ensure a complete recovery and to prevent any risk of transmitting the infection to others. He is expected to resume his normal activities on September 16, 2090.

Should you require any further information or clarification regarding Dell’s condition and treatment plan, please do not hesitate to contact me.


Sincerely,

[Doctor’s Name]
Physician
[Your Company Name]

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