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


Companies ask for an official document verifying the reason for absence from employees when they miss work especially when they apply for a paid sick leave. Although it varies for each company or organization, it is a standard protocol that every employee, from the higher-ups to the lower ranks, to provide a doctor’s note.

Aside from employees, students who are enrolled in an academic institution also need to provide a doctor’s note to excuse them from their absence from class. This ensures that they are not marked as absent, but rather just on an official rest day. A doctor’s note can also be used to certify that a person is fit to work or participate in certain activities.

Best Doctor Note Examples & Templates

1. Cardiologist Doctor’s Prescription Note

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After patients have had their checkup with their cardiologist with regards to heart or circulatory problems, the cardiologist will give them a prescription note indicating what medicine they need to take, the dosage, time, etc. If you are a cardiologist or a medical student (requires the signature of a registered physician), you can use this cardiologist prescription note template to easily give the right prescription to patients.

2. Children’s Clinic Doctor’s Note

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This children’s clinic doctor’s note can be used to excuse a student from school for a certain number of days given that a registered physician/pediatrician has conducted a checkup and has noted the need for rest. This note will serve as an official request on behalf of the student.

3. Urology Doctor’s Prescription Note

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In order to effectively give the right prescription to a patient, you need to have a clear and organized prescription note template. This template is specifically tailored for urologists who will prescribe medicine for patients with urinary tract surgery and diseases. This template is available in Microsoft Word, Apple Pages, and PDF format.

4. RMP Doctor’s Prescription Note

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A registered medical practitioner needs to have a prescription note that is specifically tailored to his or her specialty or field. In this case, this RMP Doctor’s Prescription Note is an easily editable template that you can download and use. You can change the contents to fit your needs and preference.

5. Doctor’s Note for Work

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When you use your sick leave credit to get a paid absence from work, you will need to provide your employer with a legitimate document. In this case, this Doctor’s Note for Work template is what you need to provide; however, the signature of the doctor will be needed. You can use this template or you can use the template that your doctor uses.

6. Doctor’s Excuse Note

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This doctor’s excuse note can be used either for work or school absence. This will certify that you have been through a checkup and tests under the orders of the doctor and will state when you will return for work or school. In addition, limitations as to your physical capacity once you return will also be provided by the doctor.

7. Return To Work Doctor’s Note

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Contrary to a doctor’s excuse note, this return to work note will state when you will be able to fully return to work in the company. It states the period when you have been under the care of the doctor, the nature of the illness or injury, and the restrictions you will have to adhere to. This template can be opened and edited on MS Word, Apple Pages, and in any PDF reader.

8. Gynecologist Doctor’s Prescription Note

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Gynecologists ensure that a female’s sexual and reproductive health is well taken care of. When a patient has already gone through her checkup and is in need of medication, a gynecologist prescription note will be used to list down all the medicine she has to take, on what particular time, the specific dosage, etc.

9. Ophthalmologist Doctor’s Prescription Note

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Ophthalmologists deal with the diagnosis and treatment of eye disorders. They are also licensed to conduct surgery on a patient’s eye if needed. This prescription note is specifically tailored for ophthalmologists for prescribing the right medicine to the patients. This template can be tailored to the ophthalmologist’s preference through MS Word, Apple Pages, PDF Acrobat Reader.

10. Doctor’s Note for School Absence

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Some academic institutions have strict policies when it comes to a student’s absences. A doctor’s note for school absence is a document that can be used as proof that the absence was totally necessary. It includes the name of the patient, reason or diagnoses, the date to return as well as additional comments the doctor may need or want to provide.

11. Orthopedic Doctor’s Prescription Note

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Orthopedics is a branch of surgery concerned with conditions involving the musculoskeletal system. When a patient has broken bones or any issues or disease in the bones, an orthopedic may prescribe medicine to ease the pain or cure the disease. This template can be used by an orthopedic and can be specifically tailored to his or her needs.

12. Dentist Doctor’s Prescription Note

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A dentist can prescribe a patient with medicine that will ease the pain or cure oral infection and diseases. This dental note template can be downloaded and edited through MS Word, Apple Pages, and PDF Acrobat Reader. This can be specifically tailored to the preference of the dentist.

13. Doctor Note’s on Ability to Work

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Depending on company or organization policies, an employee may be given a disability leave. This template can be given to an employer to help make decisions about how to accommodate the patient’s disability, providing the necessary leave, and to assess if the patient can be allowed to resume work.

14. Doctor’s Note to Return to School

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This doctor’s note to return to school template is given to the student for the doctor to sign. This will serve as a verification that the student has been treated and is safe to return to school. Checkboxes are provided so that the doctor can easily provide the necessary information about the student’s case.

15. Simple Doctor’s Note

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This doctor’s note is specifically tailored for a horse riding activity in a specific institution. This ensures that the participant is of the right age and is physically capable to perform what is needed. The given example is brief and direct; it basically serves as an official document giving permission to the participant to join the activity.

16. Medical Doctor’s Note for Necessity of Dental Care

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This medical note is given in accordance with a request to determine the medical need for certain medical procedures. Details about the patient such as his or her name, date of birth, medical history, a list of medications, etc. are all provided. The doctor basically endorses this information so that necessary dental procedures that can help maintain the health of the patient can be done.

All the doctor note templates given in this article are free for download. All of these are easy to edit and tailor for the specific user as well as his or her preferences. We hope you have chosen the appropriate template to use for your purpose with the help of the provided descriptions.

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