MEDICAL EXCUSE NOTE Doctor’s Name: Dr. Keith T. Aziz Address: 4500 San Pablo Rd S Date: 04/26/2023 To Whom It May Concern: William Lackemacher Please Excuse: ________________________________________________ From: ⃞ Work ⃞ School ⃞ Other: __________________________________________________ Due To: ⃞ Injury ⃞ Illness ⃞ Others: _________________________________________________ 04/26/2023 04/26/2023 For the following dates: ______________ to ______________ Doctor’s Comments: Appointment for carpometacarpal fracture in hand. Patient is required to wear a spica splint for 3 weeks. __________________________ Dr. Keith T. Aziz Powered by TCPDF (www.tcpdf.org)