Doctor Note for Food Allergies
Doctor's Note
From:
Dr. Robert Johnson
Evergreen General Hospital
101 Pine Lane Unit 12
Rural Town, USA 23456
Contact Number: 222 555 7777
Email: [email protected]
To Whom It May Concern,
This letter is to inform you that my patient, Jane Smith (DOB: 16/04/2025, Contact: 222 555 7777), has a severe peanut allergy and must strictly avoid all products containing peanuts. Her allergy can result in extreme reactions which can significantly compromise her health if exposed to peanuts.
As her attending physician at Evergreen General Hospital, I strongly advocate for Jane Smith's adherence to a strict peanut-free regimen, and encourage her environment to help ensure this restriction is maintained. Failure to follow this dietary restriction may evoke intensive allergic reactions, and potentially warrant medical intervention.
Should you have any questions or require further clarification regarding her condition or needs, you are welcome to contact me at the provided contact details above.
Respectfully,
Dr. Robert Johnson
