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Doctor's Note Template for Absence

This medical note excuses a patient named [Patient's full name] from work or school from [beginning date] through [ending date]. The doctor examined the patient and determined they have [health condition] and need [number of days] off for rest and recovery from their condition. The note is signed by Dr. [Doctor's full name] from [Name of Hospital, Medical Center, Clinic, Doctor, etc.].

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Alexander Salvador
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476 views2 pages

Doctor's Note Template for Absence

This medical note excuses a patient named [Patient's full name] from work or school from [beginning date] through [ending date]. The doctor examined the patient and determined they have [health condition] and need [number of days] off for rest and recovery from their condition. The note is signed by Dr. [Doctor's full name] from [Name of Hospital, Medical Center, Clinic, Doctor, etc.].

Uploaded by

Alexander Salvador
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Authorization of Work or School Absence

Authorization of Work or School Absence

Date: December 15, 2023


[Name of Hospital, Medical Center, Clinic, Doctor, etc.]
[Address]
[State/City] / [Zip Code]
[Phone Number]

RE: Name: [Full Name of Patient] | Date of Birth: [Patient's DOB]

To Whom It May Concern,


Please excuse [Patient’s full name] from [beginning date] through [ending date] . I have examined
[Patient’s first name] and determined that [he/she] has [enter the health condition of patient] and
needs [number of days] days off for rest and recovery.

Sincerely,

Dr. [Doctor’s full name]

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