Scribd Logo
Upload

Welcome to Scribd!

  • Doctors Note Template 12

    Uploaded by

    rob radel
    412 views2 pages
    This doctor's excuse slip summarizes a patient's appointment at the Cross Timbers Community Health Center in De Leon, TX. It provides the date of the appointment, time, and either excuses the absent from work/school or places limitations until a future return date. The physician signs to verify the details of the appointment.

    Original Description:

    Original Title

    doctors note template 12

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This doctor's excuse slip summarizes a patient's appointment at the Cross Timbers Community Health Center in De Leon, TX. It provides the date of the appointment, time, and either excuses the absent from work/school or places limitations until a future return date. The physician signs to verify the details of the appointment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    412 views2 pages

    Doctors Note Template 12

    Uploaded by

    rob radel
    This doctor's excuse slip summarizes a patient's appointment at the Cross Timbers Community Health Center in De Leon, TX. It provides the date of the appointment, time, and either excuses the absent from work/school or places limitations until a future return date. The physician signs to verify the details of the appointment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    CROSS TIMBERS COMMUNITY HEALTH CENTER

    110 West Reynosa

    De Leon, TX 75486

    (265) 839-5687

    DOCTOR EXCUSE SLIP

    Date: ________________________

    This is to clarify that _____________________________ (has had) an appointment at


    ________________________ o' clock.

    ___________________________________ please excuse this absent.

    _____________ May return to work on _______________________.

    ____________ No P.E until released.

    ______________ May return to work without limitations.

    ______________________________

    Physicians Signature

    You might also like