Free document

Attendance certificate and fitness letter

Two one-page letters patients ask for every week: proof that they attended, and a doctor’s view on whether they are fit for work or exercise. On your letterhead, ready to sign and stamp.

What is on the pages

Attendance certificateReference and date of issue, the patient’s name, file and ID number, the date and the times from and to, stated as a medical consultation.
Accompanied byName, relationship and ID of a parent or guardian who came with the patient.
Diagnosis only on requestA tick for when the patient asks for the diagnosis to be stated, and a line to write it. Otherwise no diagnosis appears.
Fitness letterExamined on, purpose (work, exercise or other), job or activity, and the outcome: fit, fit with the restrictions listed, or not fit until a date, with a review date.
The private-use noteBoth letters say that in Saudi Arabia sick leave for government bodies and employers is issued through the official platform, and that this template is for private use.

How to use it

  1. Add your letterhead

    Put your logo, address, phone and licence number in the header of each letter.

  2. Fill it from the visit

    Copy the date and times from the appointment, not from memory.

  3. Ask before writing a diagnosis

    Leave the diagnosis out unless the patient asks for it, and tick the box when they do.

  4. Sign, stamp and keep a copy

    Give the original to the patient and keep a copy in their file.

Who it is for

Any clinic asked for proof of attendance by a school, a private employer or a gym, or for a fitness opinion before work or sport. The Arabic file runs right to left; the English file is the same two letters in English.

Questions

Can I use it as official sick leave in Saudi Arabia?

No. In Saudi Arabia, sick leave for government bodies and employers is issued through the official platform. This template is for private use.

Why is there no diagnosis by default?

An attendance certificate only needs to show the patient came. The diagnosis is the patient’s information, so it is added only when they ask.

What if the patient is fit with restrictions?

Tick that option and write the restrictions on the lines below, with a date to review them.

Who is responsible for the content?

The signing doctor. The template is a layout; what it says is the doctor’s statement.

The visit is already on record

In Medicolize every visit, with its date, times and doctor, is on the patient file, so the facts a certificate states are recorded before you write it. Thirty minutes on your own clinic.

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