work excuse note
1 min
Health 1st of High Point 3755 Admiral Drive Suite 106 High Point, NC 27265 P: 336-887-9460 F: 336-887-5710
RETURN TO WORK LIMITATIONS
Date: June 19, 2019
Re: Arely Martinez
To whom it may concern,
X This patient had a medical appointment on _Wednesday, June 19, 2019
____ Please excuse this patient from physical activity.
_____ Please excuse this patient from work on ____________.
_____ Please place this patient on light/limited duties from ___ .
_____ This patient may return to work on ____________________________ Sincerely, Dr. Clifton Mays, D.C.