Medical Certificate Letter Sample
Dear [Recipient's Name],
I hope this letter finds you in good health. I am writing to provide you with a medical certificate on behalf of [Patient's Name]. I have conducted a thorough medical examination and assessment of the patient and would like to certify the following information:
1. Patient Information:
- Full Name: [Patient's Full Name]
- Date of Birth: [Patient's Date of Birth]
- Gender: [Patient's Gender]
- Contact Details: [Patient's Contact Information]
2. Diagnosis:
- Medical Condition/Diagnosis: [Diagnosis]
- Duration/Date of Diagnosis: [Duration/Date of Diagnosis]
- Severity/Stage: [Severity/Stage, if applicable]
- Symptoms: [Symptoms, if applicable]
3. Treatment:
- Medications: [Prescribed Medications]
- Dosage: [Dosage Instructions]
- Treatment Plan: [Treatment Plan, including any recommended procedures, therapy, or follow-up appointments]
4. Restrictions/Recommendations:
- Work Limitations: [Specific limitations or restrictions on work activities]
- Duration of Rest/Recovery: [Recommended duration for rest/recovery]
- Further Medical Evaluation: [Any further medical evaluation or follow-up required]
Please note that the information provided is accurate to the best of my knowledge and based on the medical examination conducted. Should you require any additional information or clarification, please do not hesitate to contact me.
Thank you for your attention to this matter. I kindly request that you accommodate the patient's medical condition and make any necessary arrangements to ensure their well-being. Your understanding and cooperation are greatly appreciated.
Yours sincerely,