Professional Doctor’s Note for Annual Physicals

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

Note Templates @ Template.net