2/3/22, 6:46 PM Urgent Care, Carenow

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Urgent Care, Carenow

Urgent Care, Carenow

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We make you a personalized hospital release note from the hospital of your choice. Comes complete with dates and
description of visit, expected date to return to work, and doctor's signature.

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2/3/22, 6:46 PM Urgent Care, Carenow

 Doctor Or Hospital Form

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AllFill
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out this form
 with the Pertinent information for your personalized Dr. Note.

Name of Doctor's Office, Clinic, Or Hospital

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Enter Address of Doctor Office, Clinic, or Hospital Your shopping cart is empty!

Date of Visit to Doctor, Clinic, or Hospital

/ /
MM DD YYYY

Arrival Time
: : AM
HH MM SS AM/PM

Discharge Time
: : AM
HH MM SS AM/PM

Patient's First and Last Name

First Last

A brief description of the reason for your visit

The Date you should return to work

/ /
MM DD YYYY

Mobile Phone for text (We text only)

- -
### ### ####

Email
*

Delivery is 1-3 Hours via Email or Direct Download. 

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2/3/22, 6:46 PM Urgent Care, Carenow
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$35.00

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Tags:
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emergency,
release,
discharge,
paperwork,
diagnosis,
reason,
sick,
absent,
absence,
work,
excuse,
school,
injury,
medical

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2/3/22, 6:46 PM Urgent Care, Carenow
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