Medical Certificate (with disclaimer & additional notes based on consent)

Practice Name: Green Valley Health Clinic Contact Number: 01234 567890 Date of Certificate: 30 March 2025 To Whom It May Concern, This is to certify that John Doe was examined at this clinic on 30 March 2025, and in my professional opinion, they have a medical condition that renders them unfit for work and/or normal daily activities from 30 March 2025 to 15 April 2025. The patient has consented to share that they are recovering from a severe respiratory infection, which requires rest and medication. Based on the examination findings, I confirm that John Doe is now considered medically fit to return to work or resume their usual activities as of 16 April 2025. If there are any ongoing restrictions or modified duties recommended, these are outlined in the remarks section below. Remarks: John Doe should avoid strenuous activities and ensure adequate hydration. A follow-up appointment is recommended in two weeks to reassess recovery progress. Healthcare Provider Details: Provider Name & Signature: Dr. Emily Carter Qualification: MBBS, FRACGP Provider Number: 123456 Email: emily.carter@greenvalleyhealth.com Disclaimer: This medical certificate has been issued based on clinical judgment and information obtained during the consultation. It is intended solely for the purpose of verifying medical status related to employment, insurance, or other official purposes. Reproduction or alteration of this certificate without consent is not permitted.