Doctor's Note Template: Free Printable Excuse Slip for Work
Free printable doctor's note and dr note template for work. Learn what to include. Download PDF excuse slip.
A doctor's note (or dr note) is a written excuse from a healthcare provider confirming an illness or medical appointment. Employers and schools often require a note from doctor template or signed slip for absences. While only a licensed provider can issue a valid medical excuse, you can use a simple dr note template as a fill-in form for your provider to sign.
What to include in a doctor's note template
A typical dr note template for work should have space for:
- Patient name and date of visit
- Dates unable to work or attend (or date of appointment only)
- Provider name, signature, and contact
- Brief statement that the person was seen and excused
Keep it factual. Avoid diagnosing; the note confirms the visit and excused dates.
Free printable doctor's note and excuse slip
Many workplaces accept a simple, professional note. You can:
- Print a blank note template—use our lined note paper or note paper template to hand-write a note your provider can sign
- Type and print—use a word processor with our printable templates, then have your provider sign
We offer free printable note paper in various sizes. For a formal excuse slip, use A5 or similar and fold or cut to a compact size.
Dr note template for work: best practices
- Get it signed by a real healthcare provider—never forge
- Request it during the visit so you don’t have to return
- Keep a copy for your records
- Submit promptly per your employer’s or school’s policy
What employers can and cannot ask
Employers may ask for a note to verify an absence. They generally cannot demand detailed medical information. A simple statement that you were seen and excused for specific dates is usually enough.
Check your workplace or school policy for exact requirements.
Printable note paper templates
- Note paper (A5 size)—good for short notes
- Lined paper templates—college ruled, wide ruled
- All note-related templates
Print at Actual Size / 100% so the format prints correctly.