Medical Leave of Absence Doctor's Note
Doctor Note
Lavender Hospital
Emily Davis, M.D.
101 Pine Lane Unit 12
Rural Town, USA 23456
Contact Number: 222 555 7777
Email: [email protected]
To Whom It May Concern,
This is a formal note providing medical documentation for patient Jane Smith (Date of Birth: 01/01/1972, Contact Number: 222 555 7777.
Jane Smith has been diagnosed with a medical condition that requires a leave of absence from her daily activities and responsibilities. The nature of her condition necessitates an ongoing therapeutic regimen which includes mandatory rest and scheduled treatment. It is necessary that Jane Smith be granted time away from work to ensure that her health recovers optimally.
It is recommended that Jane Smith be allowed medical leave to prioritize her wellbeing and to facilitate her return to optimal health. The estimated duration of this leave period is undetermined at this time and will largely depend on her response to ongoing treatments.
We appreciate your understanding and cooperation in this matter. Should there be any questions or should further clarification be necessary, kindly contact us at your earliest convenience.
Warm Regards,
Emily Davis, M.D.
Lavender Hospital.
