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Bonus Doctor Notes Template 05 | PDF | Wellness
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Bonus Doctor Notes Template 05

This doctor's note provides a patient named with an excused absence from work for a period of days due to an undisclosed medical condition. The note was issued by a medical clinic and signed by the treating doctor to validate the patient's need for time off from work for illness.

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KimiKimi
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470 views1 page

Bonus Doctor Notes Template 05

This doctor's note provides a patient named with an excused absence from work for a period of days due to an undisclosed medical condition. The note was issued by a medical clinic and signed by the treating doctor to validate the patient's need for time off from work for illness.

Uploaded by

KimiKimi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Sample Doctor’s Note for Work

Name of Medical Clinic

Address

Phone Number

Patient’s Records

Name: ________________ Gender: _______

Age: _________________ Date: ________

Dear ________________

Please allow _____________ (patient’s name) from effective


_________________ days, due to the following medical condition.

Illness and prescription

___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________

Sincerely

(Signature of the doctor).

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