General Medical Excuse Note Format

General Medical Excuse Note Format


[Date]

TO WHOM IT MAY CONCERN,

I am writing to inform you that [Patient's Full Name], born on [Patient's Date of Birth], has been under my care for a medical condition.

Reason for Absence:
[A brief explanation of the medical issue justifying the absence]

Duration of Absence:
This patient is excused from attending work/school from [Start Date] to [End Date]. They are expected to return on [Return Date].

If you have any questions regarding this matter, please feel free to contact my office at the number listed above.

Thank you for your understanding.

Sincerely,

[Signature]
[Printed Name]
[License Number]

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