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Medical Exemption Letter Template

If you have a chronic illness, mobility issues, or severe anxiety, serving on a jury is impossible. But the court won't just take your word for it—you need a letter from your doctor.

What the Court Needs to See

Judges receive hundreds of flimsy medical excuses every week. To guarantee your dismissal, your doctor's note must be printed on official clinic letterhead, signed by the physician, and explicitly state that your condition makes serving impossible. It does not need to disclose your specific diagnosis if you prefer privacy, but it must state the functional limitation.

Free Doctor's Letter Template

Have your doctor copy and paste this onto their letterhead:

[Date]

To the Honorable Judge or Jury Commissioner:

Please accept this letter as a formal request to permanently excuse [Patient Name], DOB [Date of Birth], from jury duty service.

I am [Patient Name]'s treating physician. They suffer from a severe, chronic medical condition that prevents them from sitting for extended periods, concentrating, or participating in a trial setting. Serving on a jury would be highly detrimental to their health.

Please grant a permanent medical exemption. If you require further verification, you may contact my office at [Phone Number].

Sincerely,
[Doctor's Name & Signature]

Key Takeaway

Do not write the excuse yourself. Have your doctor put our template on their official letterhead to ensure the jury clerk accepts it without question.