Texas Medical Association
[Print on your practice letterhead]Date: ____________Dear Employer: [Name of Physician]_________________________________________________is providing this letter to ________________________________________ to excuse him/her/them from work. This individual is required to stay home and self-monitor for 10 days after his/her/their last day of exposure to a suspected/confirmed COVID-19 case or of having traveled in an area with ongoing spread of coronavirus as identified by the Centers for Disease Control and Prevention. For more information, visit coronavirus/2019-ncov/travelers. This individual’s self-reported last day of exposure or of traveling was on ______________________. He/She/They should not attend work during the 10-day period after this date.This person has not been diagnosed with COVID-19. These measures are being implemented out of an abundance of caution given the COVID-19 pandemic. Please excuse this person from work so that he/she may comply with this directive. Sincerely, [Physician signature] ................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- meeting minutes template
- physician order sheet template
- patient check out
- physician to physician letter template
- free printable medical forms medical excuse note
- note to file template dartmouth hitchcock
- sample progress notes
- note centers for disease control and prevention
- texas medical association
- 11 sample doctor s letter ra other than loa
Related searches
- journal american medical association arc
- journal american medical association archives
- journal of american medical association jama
- american medical association doctor ratings
- american medical association physician lookup
- american medical association physician profile
- journal american medical association jama
- american medical association journal
- texas bar association attorney complaints
- texas bar association complaint form
- texas bar association complaints
- houston texas bar association complaints