# Doctor's note workflow template

> Send a doctor's note to HR. The diagnosis stays confidential: your manager only sees the days off.

Category: People. 3 steps, 9 form fields. Includes: confidential fields.

## Steps

### 1. Doctor's note

Owner: Whoever starts the request.

Fill in the dates and attach the note.

Fields:

- First day of absence (date, required)
- Days (number, required)
- Doctor or clinic (text, required)
- Diagnosis code (ICD-10) (text)
- Doctor's note (files, required)

### 2. Manager notice

Owner: The requester’s manager.

Acknowledge the absence and plan the coverage. The diagnosis is not shown here.

Due in 1 day (business time).

Fields:

- Who covers the work (long text)

### 3. HR review

Owner: A person or team you choose.

Validate the note and record the absence.

Due in 2 days (business time).

Fields:

- Valid note? (choice, required)
- Why not? (long text, required)
- Leave of absence (checkbox)

Use this template: https://easy.wf/register
Page: https://easy.wf/templates/doctors-note