Printable Pregnancy Doctor’s Note Template (PDF & Word)

Navigating work responsibilities during pregnancy can be overwhelming, especially when you need official documentation to support your maternity leave. Our Pregnancy Doctor’s Note Template is designed to simplify this process with a ready-to-use, editable format available in both PDF and Word.

This professional note confirms pregnancy details, outlines any work restrictions, and ensures proper communication between the expecting mother and employer or relevant authorities.

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Why Use a Pregnancy Doctor’s Note?

Many workplaces require official medical documentation for maternity leave approval or to adjust work duties. This template serves multiple purposes:

• Official confirmation of pregnancy
• Expected due date declaration
• Work restriction recommendations
• Documentation for maternity leave application
• Emergency contact and health record support

Key Features & Benefits

• Printable & Editable — Available in both PDF and Word formats
• Includes All Essential Details — Name, age, expected delivery date, doctor’s guidelines, and contact info
• Professional & Clean Layout — Hassle-free, easy-to-understand format
• Use for Workplaces, Travel, or Healthcare Facilities
• Legal and HR-Compliant Structure

What’s Inside the Template?

• Patient’s name and medical details
• Confirmation of pregnancy status
• Expected delivery date
• Work activity restrictions (if applicable)
• Emergency contact information
• Doctor’s signature and clinic contact details

Who Can Use This Template?

• Medical professionals and clinics issuing official notes
• Employees requesting maternity leave
• Employers requiring documentation for HR records
• Patients traveling while pregnant

Why Choose Our Template?

Save time, avoid paperwork stress, and focus on your health. Our Pregnancy Doctor’s Note ensures you have the right documentation at hand — whether for your job, healthcare needs, or travel emergencies.