Free Doctor’s Note for Employee Mental Health Wellness Template
Doctor’s Note for Employee Mental Health Wellness
October 3, 2090
Clinic Name: Thompson Family Medicine
Address: 123 Wellness Ave Springfield, IL 62701
Phone Number: [Your Company Name]
Patient's Name: Allen Doe
Date of Birth: March 15, 2050
Address: 456 Maple Street, Springfield, IL 62702
To Whom It May Concern:
I am writing to inform you that my patient, Allen Doe, has been under my care for mental health-related concerns. Due to these concerns, I recommend that he be provided with the necessary support and accommodations during this time.
John has been experiencing symptoms of anxiety and depression that impact his daily functioning, and it is important for his mental wellness that he receive appropriate time to address these issues. I suggest that he take a leave of absence from work from October 10, 2090, to October 24, 2090, to focus on his recovery and well-being.
I appreciate your understanding and support in providing John with the time he needs to ensure his mental health is properly addressed.
If you have any questions or require further information, please do not hesitate to contact my office.
Thank you for your attention to this matter.
Sincerely,
Dr.[Your Name], M.D
[Your Email]
Medical License no: 123456789
