Doctor Letter for Work Template

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Doctor Letter for Work Template

[Name of Doctor], M.D.
[Affiliation/S]
[Street Address]
[City, State] [Zip/Postal Code]

[Date]

[Name of Manager]
Manager, [Department, If Any]
[Name of Company]
[Street Address]
[City, State] [Zip/Postal Code]

Dear Mr. /Ms. /Mrs. [SURNAME OF MANAGER],

This is to inform you that your employee, [NAME OF EMPLOYEE], came to visit me for an appointment on [DATE OF APPOINTMENT]. [NAME OF EMPLOYEE] has related to me several times via phone call or text message that he/she has been [DESCRIBE EMPLOYEE'S MEDICAL COMPLAINTS].

The results of her examination and assessment show that he/she is [DESCRIBE MEDICAL CONDITION OF
EMPLOYEE]. Because of this, I am recommending that [NAME OF EMPLOYEE] be excluded from work starting [DATE] until further notice from me, his/her assigned physician. He/she needs to be confined at home for the time being, since going to work may compromise both his/her health and the health of your employees. If no complications arise during [NAME OF EMPLOYEE]'s recovery phase, I trust that he/she will be back on her feet in less than [N] [weeks/months].

I hope you consider this matter, as we all know that a healthy employee is a productive employee. Let us work together to help [NAME OF EMPLOYEE] retrieve his/her strength so he/she can once again do what he/she must at your company. Should you have any questions or concerns, please call me or my staff at the numbers provided below. You can also email [EMAIL ADDRESS].

Thank you very much for understanding. Good day.

Sincerely yours,

[Name of Doctor], M.D.
[Contact Number/S]
[Email Address]