Doctor Note For School
Doctor Note
From:
Dr. Robert Johnson
Evergreen General Hospital
101 Pine Lane Unit 12
Rural Town, USA 23456
Contact Information:
Phone: 222 555 7777
Email: [email protected]
Patient:
Jane Smith
Date of Birth: Please provide
Contact Information: Please provide
To Whom It May Concern,
I am writing this letter to inform you that my patient, Jane Smith has been seen and evaluated at Evergreen General Hospital. Upon evaluation, Jane Smith has been diagnosed with flu on December 10, 2050. Due to the severity of the condition, Jane needs ample time to rest and recover.
Therefore, I am advising a week's leave from school commencing immediately. It is imperative for Jane’s health and the health of other students and staff that Jane stay home during this time to fully recuperate.
Please consider this letter a formal medical release and excuse for Jane’s absence. If there are any issues or concerns, feel free to contact me at the above provided contact details.
Thank you for your understanding and cooperation in this matter.
Best Regards,
Dr. Robert Johnson
Date:
December 10, 2050
