Doctor Note For Disability

Doctor's Note

Evergreen General Hospital
101 Pine Lane Unit 12
Rural Town, USA 23456
Contact: 222 555 7777
Email: [email protected]

To Whom It May Concern,

This document serves to confirm that my patient, Sarah, suffers from a recognized disability that significantly impedes her ability to perform daily tasks. The severity of the condition warrants allocation from regular duties and responsibilities.

It's important to emphasize that chronic effects of the said disability could adversely influence Sarah's overall well-being and responsiveness if not given the necessary adjustments and considerations. Sarah was born on October 31, 2050. She can be contacted through her mobile number and her home address which is on file at Evergreen General Hospital.

Please feel free to contact me should you require any further information or clarification regarding Sarah's condition. I am confident we can collaborate to ensure Sarah's health and well-being are prioritized while maintaining a conducive environment for her.

Sincerely,

Dr. Robert Johnson
Evergreen General Hospital
Email: [email protected]

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