<<Doctor:Name>>
<<Doctor:Qualifications>>
<<Doctor:Address>>
<<Doctor:City>>  <<Doctor:Postcode>>

	    Medical Certificate

THIS IS TO CERTIFY THAT

<<Patient Demographics:Title>> <<Patient Demographics:First Name>> <<Patient Demographics:Surname>>

IS RECEIVING MEDICAL TREATMENT AND FOR THE PERIOD

<<From Date>>	TO	<<To date>>	INCLUSIVE

<<Patient Demographics:he/she>> WILL BE UNFIT TO CONTINUE <<Patient Demographics:his/her>>  USUAL OCCUPATION

<<Patient Demographics:Full Name>> does not meet the clinical criteria for testing for COVID-19 and as such the patient will be fit to return to work on the above stated date.

This Certificate was completed on <<Miscellaneous:Date>>  

<<Doctor:Name>>