Simple Doctor Note For Work

Doctor's Note

Dr. Sarah Wilson
Evergreen General Hospital,
303 Cedar Court Lot 15 Countryside, USA 45678.
Email: [email protected]
Contact No: 222 555 7777


Date: 10th July, 2050

To Whom It May Concern,


This is to certify that the patient named Emily Davis, Date of Birth: 15th March, 2020, Contact Information: 222 555 7777 was examined in the Evergreen General Hospital.

The medical assessment performed on Emily Davis diagnosed the presence of influenza. It is a condition that needs adequate rest and absence from environments that may further deteriorate the health of the patient or may lead to spreading of the condition.

Therefore, kindly permit Emily Davis to take a leave of absence from her work for the period of 5 days, starting on 11th July, 2050, to recover fully from the diagnosed health condition.

Her wellbeing would assist in her returning back to her work more actively. In case of any queries or need for further information, please feel free to contact me on my provided contact details.

Thank you for understanding and cooperation.


Sincerely,


Dr. Sarah Wilson
Evergreen General Hospital

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