Free Doctor’s Note for Paternity Leave Template

Doctor's Note for Paternity Leave


October 3, 2055

Mr. John Smith
Human Resources Manager
ABC Corporation

456 Business Rd. Springfield, IL 62702

Dear Mr. Smith,

I am writing to formally confirm that my patient, Mr. John Smith, is anticipating the birth of his child. He needs to take paternity leave during this critical period to provide support to his partner and participate in the initial bonding experience with their newborn.

I recommend that Mr. Smith be granted paternity leave starting October 10, 2055, and extending through October 24, 2055. This two-week period will allow him to fulfill his familial responsibilities and help ease the transition for his family as they welcome their new addition.

Should you require any further information or wish to discuss Mr. Smith's situation in more detail, please feel free to contact my office at your convenience.

Thank you for your consideration and support regarding this important family matter.

Warm regards,


Dr. [Your Name], M.D.
Board Certified in Family Medicine
License Number: 123456789

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