Fillable Form Fake Doctor's Note

What is a Doctor’s Note?

A Doctor’s Note, sometimes referred to as a Medical Excuse Note or a Work Excuse Note, is a short note or letter that is submitted to an employer or school administrator in order to explain why an employee or student will be absent from work or school, when the absence will begin (if it has not already begun), and for how long they will be absent for.

Doctor’s Notes are often submitted alongside a medical certification or any other document that serves to prove the legitimacy of the excuse.

The Family and Medical Leave Act (FMLA) is a federal law in the United States which grants eligible employees the right to take up to 12 workweeks of unpaid, job-protected leave in a 12-month period for specified family and medical reasons.

This includes the birth and care of the employee's newborn child, placement with the employee of a child for adoption or foster care, to care for an immediate family member with a serious health condition, or to take medical leave when the employee is unable to work because of a serious health condition.

Employees are eligible if they have worked for their employer at least 12 months, at least 1,250 hours over the past 12 months, and work at a location where the company employs 50 or more employees within 75 miles.

The FMLA is designed to help employees balance their work and family responsibilities by allowing them to take reasonable unpaid leave for certain family and medical reasons.

A Doctor’s Note is often necessary, or at the very least asked for, from absentees in order for employers and educators to be able to have confidence that there was a reasonable and valid explanation for an employee or student’s absence.

Explanations and excuses deemed unacceptable or inadequate may result in the employee or student facing consequences as outlined by their workplace or school.

Employee absences can cause disruptions in the workplace, or be considered a breach of certain agreements made between the employee and their boss(es).

Student absences generally have negative effects on their performance in school, and can in some cases also present a safety concern for the student, if their whereabouts are not known.

There are many different reasons that may cause a person to be unable to go to work or attend class, ranging from injuries, to illness, to family and other personal emergencies.

A Doctor’s Note’s purpose is to make the employer or school admin aware of a medical reason for a person’s absence.

It is important to remember, however, that Doctor’s Notes are not considered legally binding in most circumstances, so it is important to keep in mind your workplace’s policies regarding absences so as to be prepared for any possible consequences or obligations that may come as a result of being absent.

How do I fill out a Doctor’s Note?

Doctor’s Notes are very short and simple to fill out. However, it is important to make sure that not only is all information on the note true and accurate, but that you also have the necessary medical documents and certifications attached to the note in order to serve as proof.

Follow this Doctor's Note template, and consult a doctor to determine whether any other documents or details need to be added to it.

As well, it is better to have a doctor or medical professional fill out the note themselves, if possible, in order to remove any possible doubt that the Doctor’s Note is a genuine document provided and certified by a medical professional.

Follow this step-by-step guide to fill it out:

1. Doctor’s Name

Enter the name of the doctor that performed the examination and is certifying this excuse note.

2. Address

Enter the address from which the doctor works.

3. Date

Enter the date that this excuse note was created.

4. Name of Excused Person

Enter the full legal name of the person that was examined and will be excused.

5. From

Check the box that applies to what the above named person is being excused from. You may choose one from the following:

• Work
• School
• Other (Specify in the space provided)

6. Due To

Check the box that applies to the reason why the above named person should be excused. You may choose any of the following:

• Injury
• Illness
• Other (Specify in the space provided)

Make sure to attach the necessary documents in order to prove that these reasons are true. If relevant, include documentation on your medical history as well.

7. For the Following Dates

Enter the date from which the person is requesting to be excused, and until what date the person will be excused.

8. Doctor’s Comment

If the doctor or doctors note any specific considerations for the excused person, have them enter those comments or notes in the space provided.

9. Doctor’s Signature

Have the doctor sign the form in the space provided.

10. Doctor’s Name

Enter the doctor’s name

Frequently Asked Questions (FAQs)

Is a Doctor's Note required for all types of medical conditions?

No, a Doctor's Note is typically required for certain situations, such as missing work or school due to a medical illness or injury. The necessity of a Doctor's Note may vary depending on your employer or educational institution's policies and the specific circumstances.

Are there legal consequences for forging a Doctor's Note?

Yes, forging a Doctor's Note is a serious offense and can lead to legal consequences, including potential criminal charges. It is important to be honest and follow the proper procedures when obtaining a Doctor's Note to avoid legal trouble.

Are there any circumstances where a Doctor's Note may be rejected?

Medical excuse notes may be rejected if they lack all the necessary details or are deemed fraudulent. They may also be subject to scrutiny if they do not meet the specific requirements of the employer, school, or institution. In some cases, a note from an unlicensed or unqualified medical professional may also be rejected.

Is it possible to obtain a Doctor's Note for a dental procedure?

Yes, it is possible to obtain a Doctor's Note for a dental procedure. Dental issues can cause pain, discomfort, and recovery time, and a dental professional can provide a note to explain the need for time off from work or school.

Can you request a medical excuse note for prescription medication use?

A medical excuse note is typically not needed for using prescription medication. However, if the medication has side effects or restrictions that affect your ability to work or attend school, you may want to discuss the situation with your healthcare provider and request a note if necessary to explain the specific limitations or accommodations required.

How do I ensure the authenticity of a work excuse note?

To ensure the authenticity of a work excuse note, you should attach copies of the diagnosis and/or any prescriptions, and ensure that said documents are also signed by the doctor who provided the diagnosis.

Can a Doctor's Note be used for chronic health conditions?

Yes, a Doctor's Note can be used for chronic health conditions that require time off from work or school. These notes can help explain the ongoing medical need and may be issued by specialists or primary care physicians.

Do schools or employers have the right to contact the medical professional who issued the note?

Schools and employers typically have the right to contact the medical professional who issued the note to verify its authenticity or clarify any medical-related concerns. However, healthcare providers are bound by patient confidentiality laws and will only disclose relevant information with the patient's consent.

Can you request a Doctor's Note for a family member?

Generally, a Doctor's Note is issued for the patient who requires time off due to a medical condition. However, if you are responsible for the care of a family member and need to take time off to provide assistance or support, you can discuss the situation with your employer or educational institution and request accommodations or leave based on the specific circumstances. It's important to communicate openly about your needs.

What should you do if your Doctor's Note is lost or damaged?

If your Doctor's Note is lost or damaged, you should contact your healthcare provider or doctor's office to request a replacement copy. They may be able to provide you with another note or confirmation of your medical condition.

Can you obtain a Doctor's Note for elective medical procedures?

Yes, you can obtain a Doctor's Note for elective medical procedures. These notes are typically provided by the healthcare provider performing the procedure and may specify the need for time off or restrictions during the recovery period.

Do you need a Doctor's Note for a single-day absence?

The need for a Doctor's Note for a single-day absence depends on the policies of your employer or educational institution. In many cases, a note may not be required for a very short absence, but it's essential to check the specific rules and communicate with the relevant authorities.

Can you obtain a Doctor's Note for a medical condition that is not currently being treated?

Yes, you can obtain a Doctor's Note for a medical condition that is not actively being treated if it is necessary to explain the need for time off due to that condition. The note will typically describe the condition and its impact on your ability to work or attend school.

Can you use a Doctor's Note for military service-related absences?

Military service-related absences are typically covered by specific military orders or documentation rather than Doctor's Notes. Military personnel should follow the procedures and guidelines set by their respective branches for documenting and requesting leave.

What should you do if your healthcare provider refuses to issue a Doctor's Note?

If your healthcare provider refuses to issue a Doctor's Note, you may want to seek a second opinion from another medical professional. Additionally, you can discuss the situation with your employer or school to explore alternative accommodations or solutions.

Can I find a Doctor's Note template to use online?

Yes, there are various sites, like this one, that provide free Doctor Note templates that you can print out and bring to a doctor to fill out. Note however that an online Doctor's Note will not be considered a real Doctor's Note unless a doctor has actually signed it and provided proof of their medical license, so it might be better to print out a doctor's excuse template and consult a doctor in person, rather than looking for an online doctor's note.

Can I have my doctor create Doctor's Notes online?

Yes, it is possible in some circumstances to have a doctor fill out a Doctor's Note online and send it to you when they've finished everything. However, it is important to be careful and ensure that you are consulting a real doctor. It is unfortunately not an uncommon occurrence for people to pose as medical professionals online, which would necessarily make any Doctor's Notes that they create and provide fake Doctor's Notes. Some of these scams will provide a free fake doctor's note as a pretense to steal your information for their own purposes.

You can ensure that you are getting an official Doctor's Note by asking that the doctor you are consulting online provide their license number alongside the real Doctor's Note. In any case, however, it is best to exercise caution when getting Doctor's Notes templates or a Doctor's Note online