Absence from work certificate

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The person

Title

Pronoun (for wording)

Full name

Enter the person's name.

Address

Leave period

Consultation date (= issue date)

Unfit / care from

Can't be before the consultation date.

Until

Must be on or after the start date.

This is more than two days. For minor ailments that's beyond the usual range — make sure it's within your scope, or consider referring to a GP.

You (the pharmacist)

Pharmacist name

Enter your name.

AHPRA registration number

Enter your AHPRA number.

Pharmacy name

Pharmacy address

Pharmacy phone

Before you issue

You're never obliged — decline and document if unsure or pressured.
No backdating: the start date can't precede the consultation.
Minor ailments, usually up to ~2 days; longer needs your judgement or a referral.
Not for compassionate, maternity or workers' comp — refer those.
Keep your own record: 7 years (adults) / until age 25 (minors).

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Certificate for Absence from Work

Personal leave