Allergy Doctor Note

Doctor's Note

Sender's Header:
Dr. Michael Smith
Crescent Valley Healthcare
303 Cedar Court Lot 15,
Countryside, USA 45678
Contact: 222 555 7777
Email: [email protected]

Date: October 7, 2050

To Whom It May Concern,

This is to certify that our patient, Emily Davis, born on January 12, 2030, residing at 15 Redwood Boulevard, City Ville, USA 55555, has been under my care for allergic rhinitis.

Emily has been experiencing symptoms including but not limited to constant sneezing, nasal congestion, itchy and watery eyes for the past one week. After careful diagnosis, it has been confirmed that Emily is suffering from Allergic Rhinitis, due to high levels of pollen in the surrounding environment.

She has been prescribed oral antihistamines and nasal sprays to manage her symptoms. She has also been advised to stay indoors, especially during seasons of high pollen count in order to limit exposure.

This condition is not contagious, however, it greatly affects Emily's daily activities. Kind consideration of her condition, and provision of necessary accommodations would be highly appreciated.

If you have any questions or require further information, kindly contact me at [email protected] or 222 555 7777.

Thank you for your understanding.

Sincerely,

Dr. Michael Smith
Crescent Valley Healthcare

Note Templates @ Template.Net