Справка о беременности на английском образец скачать

Как оформить, справка о беременности на английском образец?​

Certificate of Pregnancy

[Healthcare Provider's Name]

[Title]

[Healthcare Facility Name]

[Facility Address]

[City, State, ZIP Code]

[Phone Number]

[Email Address]

Date: [Current Date]

To Whom It May Concern:

This is to certify that [Patient’s Full Name], born on [Patient’s Date of Birth], is currently under my care for pregnancy.

Patient Information:

• Full Name: [Patient’s Full Name]
• Date of Birth: [Patient’s Date of Birth]
• Address: [Patient’s Address]
• Phone Number: [Patient’s Phone Number]

Pregnancy Details:

• Expected Date of Delivery (EDD): [EDD]
• Gestational Age: [Number of weeks] weeks as of [Date]
• Estimated Due Date: [Estimated Due Date]
• Type of Pregnancy: [e.g., Singleton, Twin, etc.]

The patient has been regularly attending prenatal visits and is receiving appropriate care for her pregnancy. It is recommended that she follow the standard prenatal care schedule, which includes routine visits, lab tests, and ultrasounds as needed.

Recommendations for Work/Activities:

[Specific recommendations or restrictions, if any, related to the patient’s work or physical activity. For example, “The patient is advised to avoid lifting heavy objects and to take frequent breaks during work.”]

This certificate is issued upon the request of the patient for [reason, e.g., employer notification, insurance purposes, etc.].

Healthcare Provider’s Signature:

[Signature]

[Name of Healthcare Provider]

[Title/Position]

[Medical License Number]

Seal/Stamp of Healthcare Facility (if applicable)

Note: Make sure to customize the placeholders with the actual details relevant to the patient and healthcare provider. The format and content may vary depending on specific needs or regulations in different regions.

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