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Doctor's Note for Time Off Work

Ebony Nichols will be excused from work from May 9-12, 2023 due to medical reasons. They are cleared to return to work on May 15, 2023 but should avoid strenuous activity or exercise until then. The note was written by multiple doctors at a medical office to excuse the patient from their duties during their recovery period.

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200 views1 page

Doctor's Note for Time Off Work

Ebony Nichols will be excused from work from May 9-12, 2023 due to medical reasons. They are cleared to return to work on May 15, 2023 but should avoid strenuous activity or exercise until then. The note was written by multiple doctors at a medical office to excuse the patient from their duties during their recovery period.

Uploaded by

Dandy Luy
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
  • Medical Office Letter

Date: 05/08/2023

RE: Off note

To whom it may concern,

Please excuse the following patient from duty on the days below. They have been in our care due to medical
reasons, and it was necessary for them to be out of school/work. It is our medical opinion that they will be able to
return to work on the date listed below, and should follow the marked restrictions.

Patient Name: ____Ebony Nichols DOB: 02/06/1981 _________________________________________

Date(s) to excuse: _May 9, 2023 – May 12, 2023 ____ ____

Date to return to work: _ ____May 15, 2023____ _________________________________

Special Instructions:

❑ Lifting not to exceed for days/weeks.

✔ No strenuous activity or exercise.

❑ The patient has a follow-up appointment with us on , at which a return-to-work date

will be determined.

❑ No restrictions.

If you have any questions or need additional information, please feel free to contact our office.

Sincerely,

Ahad Khan, MD FACS


Chyun Yin Huang, MD
Christopher Ibikunle, MD MBA FACS
Angelina Postoev, MD FACS
Andre Nunn, MD
Roseylee Kuriakose, NP
Heidi Joung, NP
Nicole Francis-Freckleton, NP

Date: 05/08/2023 RE: Off note To whom it may concern, Please excuse the following patient from duty on the

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