Doctor, I can't come in to work today. I have a fever and chills. My throat hurts and my chest feels tight. I don't think it would be wise for me to leave the house. If you've ever been ill enough that you couldn't go to work, you know how important it is to have a doctor's note excusing you from duty. For most people, a simple note will do the trick; but what if you're a federal employee or military member? In those cases, your supervisor will likely want something more official-looking than a handwritten note from your doctor.
The listing contains details about the medical excuse form. You'll have the likely time you may need to prepare the form as well as extra details.
| Question | Answer |
|---|---|
| Form Name | Medical Excuse Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | printable doctors note, printable doctors excuse, doctors excuse for work from hospital, doctors excuse for work |
MEDICAL EXCUSE
Date __________________________
Student’s Name ____________________________________
The above named students has been excused from school for an appointment with your office. Please complete the following and have the student return it to school. This form can also be
faxed to
Thank you for your cooperation.
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Attendance Office |
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Please print or stamp doctor’s name and facility location. |
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Approximate Time Arrived at Office |
_______________ |
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Approximate Time Left Office |
_______________ |
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Doctor’s Office Signature ________________________________________________