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Table of Contents

  1. Note Template Bundle
  2. Build a Doctor’s Note Template – Step-by-Step Instructions
  3. Doctor’s Note Templates & Examples
  4. Sample Doctor Note Template
  5. Blank Doctor Note Template
  6. Doctor Excuse Note Template
  7. Doctors Note For Work Template
  8. Children’s Clinic Doctors Note Template
  9. Simple Doctor Note Template
  10. Blank Doctor Note Template
  11. Children’s Clinic Doctors Note Template
  12. Free Doctor Excuse Note Template
  13. Doctor’s Note for School Absence Template
  14. Minute Clinic Doctors Note Template
  15. Return To Work Doctors Note
  16. Free Sample Doctor Note Template
  17. Physician’s Statement Note Template
  18. Sample Doctor’s Note for Disability
  19. Doctor Note Template to Return to Work
  20. FAQs

How to Make/Create a Doctor’s Note [Templates + Examples] 2023

Doctor’s notes are standard documents used by licensed doctors and health professionals. They are used for a variety of purposes, but most especially for work-related reasons.    

Note Template Bundle

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  • Google Docs
  • PDF

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Build a Doctor’s Note Template – Step-by-Step Instructions

If you are a practicing physician or licensed healthcare provider, it is not uncommon to see dozens of patients everyday. By using a predesigned and standardized doctor‘s note, you can spend more time attending to and serving your patient’s needs.   

Step 1: Search for an Editable Template

how to make a doctor’s note templates examples 2023 step

To save more time, select a Doctor’s Note template and customize it yourself. Use the search bar on the Template.net homepage to browse the available templates. 

Step 2: Choose a Template to Use

how to create a doctor’s note templates examples 2023 step

Select a template that matches your needs and download the document in your preferred format. Google Docs and Microsoft Word are the most popular formats. 

Step 3: Add a Company Name and Logo

how to make a doctor’s note templates examples 2023 step

 

Change the company name and official logo to your hospital, clinic, or health facility. You can also include your hospital’s motto or tagline if you want. 

Step 4: Patient Details

how to create a doctor’s note templates examples 2023 step

Input the patient’s information as needed. Basic details such as the patient’s name, date of birth, sex, age, and contact information are usually required.

Step 5:  Indicate the Date and Recipient

how to make a doctor’s note templates examples 2023 step

Following the patient information, always indicate the complete date the doctor’s note was written. Below the date, state who the note is addressed to. 

Step 6: Detailed Instructions

how to create a doctor’s note templates examples 2023 step

The main part of the doctor’s note contains relevant information and instructions. As much as possible, all instructions and information should be clear and specific. 

Step 7: Doctor’s Clearance

how to make a doctor’s note templates examples 2023 step

If the doctor’s note is for professional reasons, indicate the specific date the patient may resume their regular routine. It is important for any patient to be cleared by the doctor before returning to his or her duties. 

Step 8: Acknowledge and Sign

how to create a doctor’s note templates examples 2023 step

To conclude the note, leave space for the doctor to provide their full name, title, and signature. Most states and countries usually also require the doctor’s license number beside or below their name. 

Step 9: Insert a Footer

how to make a doctor’s note templates examples 2023 step

If you want to insert additional clinic information, provide contact details at the foot of your document. Common examples include an official website, landline number, and email address.  

Step 10: Save and Download

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Once you are done editing the template, save it to your computer. Aside from .DOCX, many people prefer to save their file in PDF format. 

Doctor’s Note Templates & Examples

There are different kinds of doctors that specialize in various medical fields and subfields. So evidently, there are different types of doctor’s note templates and examples that cater to a broad range of patients.

Sample Doctor Note Template

sample doctor note
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  • Google Docs
  • MS Word
  • Pages

Size: US, A4

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Blank Doctor Note Template

blank doctor note
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  • Google Docs
  • MS Word
  • Pages

Size: US, A4

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Doctor Excuse Note Template

doctor excuse note
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  • MS Word
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Size: US, A4

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Doctors Note For Work Template

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Size: A4, US

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Children’s Clinic Doctors Note Template

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Simple Doctor Note Template

simple doctor note template
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Size: US, A4

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Standard note templates help streamline a physician’s job. With it, you can focus more on providing personalized care and information to patients since you do not need to take care of daily paperwork. The Simple Doctor Note Template shown above is a sample note template format that you download, customize, and use.

Blank Doctor Note Template

blank doctor note template
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Size: US, A4

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Try the Blank Doctor Note Template (featured above) if you want as much free-writing space on your doctor’s notes. This editable template can also serve as a medical certificate and as a clearance form when signed and issued by a medical doctor.

Children’s Clinic Doctors Note Template

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Size: US, A4

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The Children’s Clinic Doctors Note Template shown above is specifically created for pediatricians and consultants working in children’s clinics and hospitals. It is available in MS Word, PDF, and Pages file formats so make sure to have any of these editing software tools installed before downloading the note template. Also, make sure to add your own hospital letterhead design at the top portion of the note form.

Free Doctor Excuse Note Template

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Size: US, A4

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Private practice and clinic physicians should have ready-made excuse notes for patients who need to take time off work to go to a doctor’s appointment. In these situations, you may use the Doctor Excuse Note Template (shown above) as a base document template file. This template may be customized to include your personal and business contact information at the bottom of the document page.

Doctor’s Note for School Absence Template

doctor’s note for school absence template
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Size: US, A4

Pediatricians will find the Doctor’s Note for School Absence Template useful as this document template is specifically created for patient’s requiring proof of medical consultation. The note’s wording also states that it can serve as a certificate of medical consultation. When customizing this template, make sure that there is a lot of space for the physician to write down his/her comments.

Minute Clinic Doctors Note Template

minute clinic doctors note template
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Size: US, A4

The Minute Clinic Doctor’s Note Template embedded above is another note template design that can work as a doctor’s excuse note. Feel free to customize this standard template using either Apple Pages, Adobe Acrobat Reader, Google Docs, or Microsoft Word.

Return To Work Doctors Note

return to work doctors note
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Size: US, A4

Use the Return To Work Doctors Note Template shown above if you prefer a fill-in-the-blanks type of physician note format. This template will allow you to save time especially if you are mostly dealing with patients with the same diagnosis throughout the day. As an editable template, you may change the document’s built-in color scheme into something that will suit your tastes more.

Free Sample Doctor Note Template

sample doctor note template
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Size: US, A4

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The Sample Doctor Note Template (embedded above) is a versatile clinical note template that may be filled out by any member of the healthcare team. The attending physician or nurse clinician just need to validate the information written on the form and then affix his or her signature at the bottom of the health certificate.

Physician’s Statement Note Template

physicians statement note template
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Use the Physician’s Statement Note Template (shown above) if you want a more thorough medical statement or note. This kind of doctor’s note is often used as a supplement to official records and legal documents.

Sample Doctor’s Note for Disability

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Another formal doctor’s note template is the Sample Doctor’s Note for Disability shown above. Customize this template to match each patient’s diagnosis, prognosis, and recommended treatment plans. As a free note template, you may easily add your own doctor letterhead design or hospital logo at the bottom or top of the document.

Doctor Note Template to Return to Work

doctor note to return to work template free pdf min
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Use the Doctor Note to Return to Work Template featured above if you want to provide your patient (and his/her employer/organization) with a detailed discharge and treatment plan. Make sure to edit the note template according to each patient you handle.

Use all the tips and steps outlined above to guide you in crafting doctor’s notes that match your medical practice and daily workflow. For more medical statement templates and form design tips like the ones shared above, check out the rest of our website.

FAQs

Is it a crime to fake a doctor’s note?

Yes, only a licensed doctor or healthcare provider can write a doctor’s note because any form of forgery or fraud can be subject to criminal prosecution.

How do you write a doctor’s note?

To write a doctor’s note, the basic details that should be included are the patient’s name, date of birth, contact information, and medical description and/or instructions.

What is a doctor’s note?

A doctor’s note is a short written notice containing information or instructions pertaining to a patient’s medical condition or status.

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