Fillable Ne200506 Muster Attest Maskenpflicht

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Ne200506 Muster Attest Maskenpflicht

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Tragen einer Mund-Nase-Bedeckung
Hiermit bestätige ich:
Arztname & Arztstempel
dass es für Patient/Patientin
Vorname, Nachname, Geburtsdatum
aus medizinischen Gründen unzumutbar ist, eine nicht-medizinische Alltagsmaske oder
eine vergleichbare Mund-Nasen-Bedeckung im Sinne der SARS-CoV-2-
Eindämmungsmaßnahmenverordnung des Landes Berlin zu tragen.
Datum Unterschrift des Arztes
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Ne200506 Muster Attest Maskenpflicht

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Completed 16 August 2020

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