Doctor Letter Format Samples for Work, Travel, Medical & Legal Use

Doctor Letter Format for Sick Leave (Employee)

Subject: Medical Sick Leave Certificate

To Whom It May Concern,

This is to certify that _______________ [Patient’s Full Name], employed at [Company Name], was examined at our clinic on __________ [Date].

The patient has been diagnosed with [Medical Condition, optional] and is advised to rest from __________ [Start Date] to __________ [End Date]. They are unfit to attend work during this period.

This letter is issued upon the patient’s request for official sick leave.

Sincerely,

Dr. _______________ [Doctor’s Full Name]
_______________ [Medical Registration Number]
_______________ [Hospital/Clinic Name]
_______________ [Contact Details]
_______________ [Signature & Stamp]

Doctor Letter for School Sick Leave (Student)

Subject: Medical Leave for School Absence

Dear _______________ [Principal/Teacher’s Name],

This letter confirms that _______________ [Student Name], a student of __________ [Grade/Class], visited my clinic on __________ [Date] due to _______________ [Brief Illness Description].

They have been advised to rest from school between __________ [Start Date] and __________ [End Date]. They may resume normal academic activities after this period.

Issued for school leave documentation.

Best regards,

Dr. _______________ [Name]
_______________ [Medical License Number]
_______________ [Clinic Name & Address]
_______________ [Contact Info]

Doctor’s Letter for Travel (Fitness to Fly)

Subject: Fit-to-Travel Certificate

To Whom It May Concern,

This letter certifies that _______________ [Patient Name], age __________ [XX], is under my care and was evaluated on __________ [Date].

They are medically fit to travel by air on __________ [Travel Date], including long distance international travel. No contraindications were found at the time of evaluation.

This certificate is issued upon the patient’s request for travel clearance.

Sincerely,

Dr. _______________ [Full Name]
_______________ [Specialty]
_______________ [License Number]
_______________ [Medical Center Name]
_______________ [Phone/Email]
_______________ [Stamp & Signature]

Doctor Letter Format for Medical Fitness (Employment or Sports)

Subject: Medical Fitness Certificate

To Whom It May Concern,

I hereby certify that _______________ [Name], age _____ [XX], was examined on __________ [Date] at _______________ [Facility Name].

Following a complete medical evaluation, _____ [he/she/they] has been found physically and mentally fit for _______________ [mention purpose: employment, sports, etc.].

This certificate is issued at the request of the individual for official use.

Sincerely,

Dr. _______________ [Full Name]
_______________ [Specialization]
_______________ [Clinic/Hospital Name]
_______________ [License/Registration No.]
_______________ [Signature & Stamp]

Doctor Letter Format for Medical Treatment Proof (For Visa or Insurance)

Subject: Medical Treatment Confirmation

To: [Embassy/Insurance Provider Name]

This is to confirm that _______________ [Patient Name], born on __________ [DOB], has been under my medical supervision for the treatment of _______________ [Medical Condition] since __________ [Start Date].

The patient requires continuous treatment until _________ [Expected Date] and may be unable to travel or work full-time.

This letter is issued for submission to _______________ [embassy/insurance provider] as part of their official documentation process.

Sincerely,

Dr. _______________ [Full Name]
_______________ [Medical Specialty]
_______________ [Facility Name]
_______________ [Contact Info]
_______________ [Signature & Clinic Seal]

Doctor Letter Format for Light Duty or Return to Work Restriction

Subject: Limited Duty Medical Note

Dear _______________ [HR/Employer’s Name],

This is to notify you that _______________ [Patient Name] is under my care and has recently recovered from _______________ [Condition or Procedure].

As of _______ [Return Date], they may return to work but are advised to avoid _______________ [list physical tasks or limitations] for the next _______________ [Time Frame].

A follow-up is scheduled on __________ [Next Appointment Date].

Respectfully,

Dr. _______________ [Full Name]
_______________ [Specialty]
_______________ [Clinic Name]
_______________ [Phone / Email]
_______________ [License No. & Signature]

Doctor Letter for Emotional Support Animal (ESA)

Subject: Emotional Support Animal (ESA) Recommendation

To Whom It May Concern,

I am a licensed mental health professional treating _______________ [Patient’s Full Name]. Based on a comprehensive evaluation, I recommend that the patient benefits from the companionship of an emotional support animal (ESA) to help manage _______________ [Conditions like anxiety, PTSD, depression, etc.].

The presence of this animal is essential for the patient’s emotional well-being and daily functioning.

Sincerely,

Dr. _______________ [Full Name], [Degree]
_______________ [License Type & Number]
_______________ [Contact Details]
_______________ [Signature]

Doctor Letter for Medical Exemption (Face Mask, Vaccine, etc.)

Subject: Medical Exemption Certificate

To Whom It May Concern,

This letter confirms that _______________ [Patient Name] is under my care and, due to medical reasons, is exempt from _______________ [Wearing a mask / Taking a vaccine / Participating in a physical activity].

This exemption is based on a detailed medical assessment and is recommended until further notice.

Sincerely,

Dr. _______________ [Full Name]
_______________ [Medical Registration Number]
_______________ [Hospital/Clinic Name]
_______________ [Phone / Email]
_______________ [Signature & Stamp]