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MEDICAL EXCUSE NOTE
Doctor’s Name: Dr. Russell D. Jones
＠
Address: 1024
S Lemay Ave, Fort Collins, CO
80524
Date: 09/06/2019
To Whom It May Concern:
Please Excuse: ________________________________________________
Ms. Brianna Maestas
From:
Work
⃞
Other: __________________________________________________
work enders
⃞
⃞
School
Due To:
Injury
⃞
Others: _________________________________________________
Bronchitis (acute)
⃞
⃞
Illness
09/06/2019
09/09/2019
For the following dates: ______________
to ______________
Doctor’s Comments:
＠an Acute, which can last for 1 to 3 weeks. It’s usually caused by cold or flu viruses. Since
these viruses are contagious, acute bronchitis usually is, too. I am putting Ms Maestas on
bed rest for the next 4 days until the medications have taken effect so virusus isn't spread
Thank you very much if you have any questions you can call our office
__________________________
Dr. Russell D. Jones