Doctor’s Note for Fake Pregnancy | Word & Excel Templates

A doctor’s note for fake pregnancy is a document that serves as evidence of an employee’s pregnancy. This note can be prepared by an actual doctor or it can be forged as well by the employee by including fake details. Whether real or fake, the doctor’s note is used as a confirmation document to be submitted to the employer to seek a leave or an off-time.

Sometimes, the employees attach the doctor’s note with their fake pregnancy papers to support their fake documents. As these notes are written by a doctor, this fact makes them significant and hence, can be used as support documents. At the same time, some employers, often, require a doctor’s note from an employee so that it can be kept in the employee file for any future reference.

Although the details may vary, the doctor’s note, usually, includes the following information:

Name of the employee.
Name of the doctor and/or hospital.
Contact details of a doctor or the hospital.
Date and time of visit.
Expected date of delivery.
Any other comments or information from a
doctor, that may include pregnancy symptoms, care needed, rest required, etc.

Whether a doctor is writing it or an employee is forging it, a doctor’s note is very simple to make. There are numerous templates available online or in computer programs that can be modified as per the requirements of the doctor or the employee. Sometimes, a doctor prepares a general template and customizes it for each patient based on their details.

If the doctor’s note is not forged and a real doctor makes a fake pregnancy document, his credibility can be questioned if the truth gets revealed. The hospital can even terminate the doctor to save its reputation of providing accurate documents only. On the other hand, if the employee makes a fake doctor’s note, she needs to be careful about the details of the doctor and hospital included in it so that, her chances of getting caught are least.

Doctor’s Note for Fake Pregnancy -Samples

#1

This is to confirm that my patient, XYZ is pregnant. She is currently in her second trimester with a due date of (date).

Due to her pregnancy, she requires some adjustments to her work schedule. In particular, she should avoid prolonged periods of standing and field work as that could be risky for her and her baby. I strongly advise her to avoid physical exertion. She should also take frequent breaks during work to avoid physical and mental strain.

Please let me know if you require additional details or reports about her medical condition.

#2

I am Doctor XYZ and Miss Jane Doe – currently in her third trimester of pregnancy – is under my care. As this is a critical stage of pregnancy, I strongly advise strict care when it comes to physical exertion. She should, therefore, be provided with a temporary concession regarding her working hours.

With immediate effect, she should be working for no more than 5 hours each day to ensure her medical well-being. I will reassess her condition after 2 weeks. If there are no complications, she may resume her regular working hours.

Please feel free to reach out if you have any queries.

#3

I am writing to inform you that XYZ is under my care for a high-risk pregnancy. She is suffering from high blood pressure and gestational diabetes. Therefore, due to her condition, I strongly advise her to take a break from work. Daily commute and physical exertion at work may lead to critical complications.

She may switch to work-from-home provided she takes frequent breaks along with sufficient bed rest. I will monitor her condition every week and will re-assess if she should continue to work or take a complete break till her delivery.

Kindly contact my office at (phone number) for further details.

#4

To whom it may concern,

Ms. Emily Watson visited Wellness Hospital on 15^th April 20XX at 3:00 p.m. I, Dr. William Smith, attended her and was informed by her that she had been having nauseating feelings for a few days. After examination and a few tests, her pregnancy was confirmed. Her expected due date is 11th October 20XX.

Her health condition is not good and she is quite weak. If she does not take bed rest for the remaining months till August, her and her baby’s lives are at stake. After delivery, the maternity leave would serve as a recovery period but right now, her body cannot do any physical exertion or stressful mental activity.

I request that you grant her the leave and excuse her from work for the rest of her pregnancy. If you need any other information, you can contact me at [Contact].

Regards,

William Smith.]

File: Word (.doc) 2007+ and iPad
Size 56 Kb

Download