Written by
Liliana Braun
Liliana Braun
Reviewed by
Liliana Braun

What is a Doctor’s Note For Work template? 

A Doctor's Note For Work template is a document that outlines the necessary information for a physician to provide to an employer regarding an employee’s medical condition and absence from work. It is official documentation that the employee could not perform their job duties for a legitimate medical reason.

The Doctor's Note For Work typically includes the doctor's name, contact information, patient's name, date of birth, address, contact information, examination date, diagnosis, treatment information, expected duration of absence, and doctor's signature. This document allows transparency between the employee, employer, and healthcare providers, ensuring proper documentation and compliance with employment policies and regulations. 

Having a Doctor's Note For Work template means that documentation can be streamlined as the structured framework ensures that all essential details are communicated between the doctor and employer. The consistency and accuracy of these templates also mean that employees and insurance companies can understand and interpret notes correctly.

Furthermore, there are specific regulatory requirements for medical documentation. So, having a pre-made template that adheres to these for doctors to fill in when their patient is not fit for work means they avoid potential disputes. 

Printable Doctor’s Note For Work template

Download this Doctor’s Note For Work template or a physician to provide to an employer regarding an employee’s medical condition and absence from work.

How does it work?

A Doctors Note For Work template serves as official documentation of the employee's illness or injury and provides the employee with valid reasons for the employee's absence. The steps involved in getting a Doctor's Note For Work template completed are as follows:

  • Schedule an appointment with your doctor, as your doctor must assess you to ensure you require a Doctor's Note For Work template.
  • It is then essential to explain your symptoms, how long you have been unwell, and if you have seen other healthcare professionals for the same injury or illness.
  • Bring any relevant medical records, such as x-rays or blood test results, to the appointment. 
  • The doctor will then fill out the printable Doctors Note For Work template. This note will include your name, date of birth, diagnosis, and the time you are expected to be away from work.
  • The doctor will then fill in the signature and date and their name, contact number, or email. 
  • It is crucial to keep one copy for yourself and give one to the employer
  • The sooner it is submitted to the employer, the sooner they can process the leave of absence. 

Doctors Note For Work example (sample)

At Carepatron, we are determined to make your life as a healthcare practitioner easier. We have created a Doctor's Note For Work template PDF. This provides an easily accessible and intuitive template that the practitioner can download, fill out, and give directly to the employer.

It contains all the information required on a doctor’s note for work template, meaning all that is left for the doctor to do is fill out each section related to their patient and sign it.

Download this Doctor’s Note For Work template example:

Doctors Note For Work example (sample)

When would you use this template?

The primary use for a Doctors Note For Work template would be when the employee is absent due to illness or injury. When an employee cannot work due to a medical condition, a doctor's note template can be used to provide official documentation of the illness or injury. For example, a COVID-19 Doctors Note For Worktemplate if the employer has COVID-19 and must stay away from work for seven days. 

A Doctor's Note For Work template may also be used when an employee’s medical condition requires modifications to their daily work environment, such as modified work duties or schedules. A Doctors Note For Work template can provide specific details about the employee's limitations, creating a streamlined and upfront method of communication between the doctor and employer. 

The Doctors Note For Work template would also be used for insurance claims. It can act as official documentation for those requiring paid absences from their workplace. The template has relevance to various practitioners but is primarily utilized by physicians such as specialists and general practitioners who are at the forefront of assessing patient conditions, providing diagnoses, and determining the duration of absence and work-related limitations. 

What do the results mean?

A free Doctor's Note For Work template can yield positive results for the employer and the employee. 

The employee often benefits from:

  • Reduced stress and anxiety as it relieves the worry surrounding their absence when they have a valid Doctors Note For Work template to submit to their employer as it provides official documentation and helps to explain their situation
  • It also increases job security as the completed note provides a legitimate reason for their absence, reducing the risk of being fired.
  • Often, a Doctor's Note For Work template will increase benefits for the employer, such as sick leave or disability benefits. This form of official documentation ensures that employers receive the help that they are entities to 

The employer benefits include:

  • Improved productivity by ensuring employees only return to work when they are fully recovered, as recommended by the Doctors Note For Work template, they will be able to work at total capacity.
  • A Doctor's Note For Work template can help employers avoid legal claims regarding employee absences or accommodations. By documenting the reason for a work-related absence and limitations, employers can demonstrate they are taking reasonable steps to accommodate their employee’s needs. 

Overall, the results from a Doctor's Note For Work template can contribute to a more harmonious and productive work environment for employers and employees by creating a mechanism for verifying absences and promoting a transparent workplace.

Why use Carepatron as your Doctors Note For Work app?

Carepatron offers a convenient and efficient solution for managing Doctors Note For Work, providing several benefits that make it a valuable tool for employers and employees. 

Its streamlined note creation simplifies the process of creating doctors' notes by providing the Doctors Note For Work template app and the Doctors Note For Work template software. This means that physicians can quickly fill out pre-designed templates with essential information, reducing the time and effort required to document patients' visits and provide them with official documentation for work absences.

It provides integrated clinical documentation with pre-existing clinical documentation systems, allowing physicians to access and incorporate relevant patient information directly into the doctors' notes for work. This streamlined approach saves time and ensures the accuracy and completeness of Doctors Note For Work forms.

Carepatron offersmobile accessibility, meaning physicians can manage and create doctor notes while on the go, providing flexibility and convenience. The Doctors Note For Work template app also offers real-time updates and notifications where employees and employers are informed of real-time information and updates. These templates ensure that essential data is captured consistently, facilitating clear communication between healthcare providers and employers. 

clinical documentation software


Cott, A., & Goldberg, W. M. (1985). Doctors’ Notes to Employers and Insurers. Canadian Family Physician, 31, 1919–1925. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2327870/

Medical examination. (n.d.). Employment New Zealand. https://www.employment.govt.nz/leave-and-holidays/sick-leave/requirement-for-medical-examination/

Rule, A., & Hribar, M. R. (2021). Frequent but fragmented: use of note templates to document outpatient visits at an academic health center. Journal of the American Medical Informatics Association, 29(1), 137–141. https://doi.org/10.1093/jamia/ocab230

How do you create a Doctor's Note For Work template?
How do you create a Doctor's Note For Work template?

Commonly asked questions

How do you create a Doctor's Note For Work template?

Carepatron has a ready-made Doctors Note For Work template that you can access for free using our platform.

When are Doctors Note For Work Templates used?

Doctors note that for work templates, verify employee absences, support requests for accommodations, and support insurance claims.

How are the Doctors Note For Work Templates used?

Doctor's notes for work document employee medical conditions, provide official documentation for absences and facilitate communication between employers and employees.

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