Montgomery, Maryland Physician Letter to Employer or School regarding COVID-19 Patient: Dear [Employer/School Administrator], I am writing to inform you that your employee/student, [Name], has recently been diagnosed with COVID-19. As a physician practicing in Montgomery, Maryland, I feel it is crucial to communicate this information to ensure the safety and well-being of everyone involved. Type 1: Return to Work/School Clearance Letter This letter is issued when a COVID-19 patient has recovered and is deemed fit to return to work or school after completing the recommended isolation period and meeting the criteria set by the Centers for Disease Control and Prevention (CDC). It outlines the patient's recovery status, absence duration, and medical recommendations for their safe return. Type 2: Quarantine Recommendation Letter This type of letter is issued when a patient has been exposed to someone with confirmed or suspected COVID-19 and is advised to quarantine as a precautionary measure. It provides information about the exposure, the patient's need for isolation, and the recommended duration of quarantine based on CDC guidelines. Type 3: Accommodations Request Letter In certain cases, an individual may require specific accommodations due to their COVID-19 diagnosis. This letter is addressed to the employer or school administration, requesting reasonable accommodations for the employee or student to ensure their safety and minimize the risk of transmission. It may include recommendations such as remote work or virtual learning options or modifications to the work/school environment to promote social distancing. Type 4: Medical Excuse Letter If an employee or student with COVID-19 experiences severe symptoms or complications that require a longer absence from work or school, a medical excuse letter can be provided. This letter states the medical condition, treatment plan, anticipated recovery time, and the need for extended time off or modified duties to facilitate recovery. Regardless of the type of letter issued, it is important for employers and schools to prioritize the safety and well-being of their staff or students by implementing appropriate measures such as encouraging regular testing, promoting hygiene practices, enforcing social distancing, and following CDC guidelines. Please do not hesitate to reach out if you require any additional information or have any specific concerns regarding this matter. Together, we can ensure the health and safety of everyone in our community. Sincerely, [Physician's Name] [Medical Practice/Institution Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.