Free Professional Doctor’s Note for Annual Physicals Template
Professional Doctor’s Note for Annual Physicals
Clinic Name: Mitchell Health and Wellness Clinic
Address: 456 Care Lane Los Angeles, CA 90012
Clinic Number: (310) 555-1234
Patient's Information
Patient Name: Jane Smith
Date of Birth: April 22, 2052
Date of Examination: October 3, 2050
To Whom It May Concern,
This letter is to confirm that Jane Smith, born on April 22, 1952, underwent a comprehensive annual physical examination at our medical facility on October 1, 2080.
Following a detailed assessment, I can confirm that Ms. Smith is in good health. There are no medical conditions at this time that would prevent her from participating in routine work-related activities, including physical exertion, as per her job requirements.
Please be assured that this evaluation reflects the patient's current health status. Should further information or clarification be required, I can be contacted directly at the details provided above.
Thank you for your attention to this matter.
Sincerely,
Dr. [Your Name], M.D
[Your Email]
Mitchell Health and Wellness Clinic
State Medical License Number: CA-654321
