01/11/2024
To Whom It May Concern,
Alice Wonderland, born on 15/03/1990, was seen in my clinic on 01/11/2024
She is currently unfit to attend work from 01/11/2024 to 07/11/2024 due to acute bronchitis.
Light duties only, avoid strenuous activity.
Signed,
Dr. Eleanor Vance
MBBS, MRCGP
(General Practitioner)
(Verbatim text is written exactly as shown and must not be changed. Keep punctuation and capitalization identical. If any information is not available in today's consultation or record, follow the instructions next to that placeholder.Do not assume or invent any details. Only use information explicitly provided.)
[today's date] (Use format DD/MM/YYYY. Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
To Whom It May Concern,
[patient's full legal name], born on [patient's date of birth] (Use format DD/MM/YYYY. Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.), "was seen in my clinic on" [date of consultation as per recording start time] (Use format DD/MM/YYYY. Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
[He/She/They] (Match patient's gender identity exactly. Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) "is currently unfit to attend" [activity] (Specify activity: work, school, or other. This must be one word or short phrase, not a sentence. Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) "from" [start date] (Use format DD/MM/YYYY. Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) "to" [end date] (Use format DD/MM/YYYY. Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) "due to" [brief reason] (If the patient did not consent to sharing specifics, write only "medical reasons". Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
[specific activity restrictions] (If specific activity restrictions were discussed such as "Light duties only", "Avoid heavy lifting", "Work from home", insert them here as a separate sentence. If none were mentioned, remove this sentence entirely. Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
"Signed,"
[clinician's full name] (Insert clinician's full name as in official records. Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
[clinician's professional qualifications] (e.g., MD, DO, NP. Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
(Never come up with your own patient details, dates, restrictions, or medical reasons. Use only what is explicitly stated in the transcript, contextual notes or clinical note. If information for a placeholder is not mentioned, omit that placeholder completely without stating it was omitted.)