Как создать, медицинская справка на английском языке образец?
Medical Certificate
[Doctor’s Letterhead]
[Doctor’s Name]
[Doctor’s Title/Qualification]
[Medical Institution/Clinic Name]
[Address of Medical Institution/Clinic]
[Phone Number]
[Email Address]
Date: [DD/MM/YYYY]
To Whom It May Concern:
I, Dr. [Doctor’s Full Name], am a licensed medical practitioner with [number] years of experience. I am writing this medical certificate to confirm the health status of [Patient’s Full Name], born on [Date of Birth], residing at [Patient’s Address].
Patient’s Information:
- Full Name: [Patient’s Full Name]
- Date of Birth: [Date of Birth]
- Gender: [Gender]
- Address: [Patient’s Address]
- Date of Examination: [Date of Examination]
- Medical Condition: [Description of Medical Condition or Diagnosis]
- Symptoms Observed: [List Symptoms if Relevant]
- Treatment Given: [Details of any Treatment Administered]
- Medications Prescribed: [List Medications if Applicable]
- Recommendations: [Any Specific Recommendations or Restrictions]
- Is the Patient Fit for Work/School?: [Yes/No]
- If No, Reason: [Reason if Applicable]
- Expected Duration of Unfitness: [Duration, if applicable]
This certificate is issued upon the patient’s request for the purpose of [reason for certificate, e.g., leave from work, school, travel, etc.].
Please feel free to contact me for any further information or clarification.
Sincerely,
[Doctor’s Signature]
[Doctor’s Printed Name]
[Doctor’s Medical License Number]
[Official Stamp or Seal of Medical Institution, if applicable]
Notes:
- Ensure all personal details are accurately filled in.
- If required by local regulations, include the official stamp or seal of the medical institution.
- The language and format may vary depending on specific requirements and local regulations.