15+ Best Doctor Note Examples & Templates (Download Now)


Most organizational policies require employees and students to provide a doctor’s note to verify one’s reason for absence. This type of note is essential for individuals to enjoy certain benefits granted by the institution.

Because of its importance, writing the note must be taken seriously. This will help certify a patient’s ability to work or participate in strenuous activities. Listed below are a few templates and examples that you can use for your patients.

15+ Best Doctor’s Note Templates & Examples

1. Blank Doctor’s Note

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  • MS Word
  • Apple Pages
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  • PDF

Size: A4 & US Sizes

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A doctor’s note will likely vary from patient to patient, case to case. But because most doctors choose to be consistent with the way they sign these notes and deliver it to their patients, it’s best to use a blank form which you can fill out with the necessary information. This is a time-saving alternative to preparing these notes from scratch.

2. Children’s Clinic Doctor’s Note

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Size: A4 & US Sizes

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As a registered pediatrician, you are given the authority to conduct a checkup, diagnose the patient, and prescribe the appropriate care for the child’s current condition. This type of medical note is often used to purchase antibiotics and other prescriptions that do not classify as over-the-counter drugs.

3. Doctor’s Excuse Note

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It is common for a patient to request a work or school excuse note when he or she is unable to report for work or school during a specified time due to health-related reasons. The doctor’s note will certify that the subject had been advised to stay home or to undergo a few tests during the said period. Most employers require their employees to submit an excuse note from their physician to validate their absence.

4. Doctor’s Note for School Absence

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  • MS Word
  • Apple Pages
  • Google Docs
  • PDF

Size: A4 & US Sizes

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Coming to school when you’re ill can be physically and mentally draining. This makes it hard for you to focus in class and perform according to your responsibilities as a student. For this reason, most doctors would advise their patients to take a rest until they are fully capable of carrying out their obligations. A doctor’s note for school absence will either be issued by the doctor or requested by the patient upon consultation.

5. Doctor’s Note for Work

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  • MS Word
  • Apple Pages
  • PDF

Size: A4 & US Sizes

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Whether you have leave credits or not, you still need to provide a medical certificate to your employer to verify your reason for absence. A doctor’s note for work points out the condition of the patient that lead to his or her absence. While this may differ from physician to physician, the standard format of such is generally comprised of the elements found in the template provided.

6. Minute Clinic Doctor’s Note

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  • MS Word
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Size: A4 & US Sizes

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As a retail clinic, minute clinics offer medical services to treat patients with minor illnesses and injuries. When you visit these clinics, you can also get certain vaccinations from their medical staff. What’s unique about these clinics is how they provide expanded healthcare access to patients who might need them. It’s a quick process that requires patients and healthcare professionals to fill out a form and undergo a procedure within a short period of time.

7. Return to Work Doctor’s Note

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  • MS Word
  • Apple Pages
  • PDF

Size: A4 & US Sizes

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Based on some company policies, employees are required to seek professional advice from their doctor to determine whether or not they are capable of returning to work. The note typically states when the patient has been under the care of a doctor, the nature of the patient’s illness, and the restrictions the patient must comply with.

8. Sample Doctor’s Note

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  • MS Word
  • Apple Pages
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  • PDF

Size: A4 & US Sizes

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If you’re looking for a generic doctor’s note for any circumstance in line with your practice, this template may be downloaded and edited as you please.

9. Simple Doctor’s Note

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Size: A4 & US Sizes

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A simple doctor’s note can be used for any possible scenario. This allows you to collect pertinent patient information, while also providing comments to excuse your patient for their absence from work or school.

10. Doctor’s Note for Ability to Work

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  • PDF

Size: 134 KB

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Some employers require their employees to undergo a screening process conducted by a registered physician to assess the individual’s capacity to work. This is to inform the employer of any restrictions or limitations concerning the patient’s present condition.

11. Doctor’s Note for Disability

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  • PDF

Size: 7 KB

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Unfortunately, some patients face life-long disabilities that may hinder or limit their capacity to perform normally. A doctor’s note will help the employer understand what the patient’s condition is and how this may be dealt with accordingly.

12. Doctor’s Note for Patient

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  • DOC

Size: 8 KB

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As someone with a disability, you can’t expect everyone to be aware of your condition at first glance. Though there are certain factors that go beyond your control, you do have the option to use a doctor’s note to settle these problems with ease. Based on the example above, using a doctor’s note to clarify your condition and make a request for accommodation is extremely important for your own well-being.

13. Doctor’s Note to Return to School

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  • PDF

Size: 216 KB

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In certain cases, a student might be carrying an infectious disease that will put those in contact at risk. To avoid transmitting this disease to vulnerable individuals, the student must consult a physician before he or she can return to school.

14. Medical Doctor’s Note for Dental Care

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  • PDF

Size: 33 KB

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A dentist does have the authority to issue a doctor’s note to record important information about a patient. This includes one’s name, date of birth, medical history, medications, and more. This ensures that a patient is given the proper care and attention in accordance to his or her condition.

15. School Absence Doctor’s Note

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  • PDF

Size: 107 KB

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To excuse patients from their absence from school, healthcare providers are authorized to issue a note to verify one’s condition. The note often contains general information that readers might want to know about.

If you ever find yourself in need of a doctor’s note, feel free to use the templates provided in this article for your convenience.

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