Yes. If you are the primary provider and the patient has a documented medical condition that makes it difficult to wear a mask, then it would be appropriate to provide a release for the patient to use at his or her work. See Curi’s sample work release.
The CDC provides this exception for wearing a mask:
“Masks should NOT be worn by children under the age of 2 or anyone who has trouble breathing, is unconscious, incapacitated, or otherwise unable to remove the mask without assistance.”
For minors, the decision to provide a release to not wear a mask should be shared between the parent and physician based on discussion of previously documented medical conditions. Physicians should document these discussions with parents, outlining the benefits vs. risks as well as the agreed-upon decision based on the child’s medical condition. Physicians should also remind parents of the inherent risk of COVID-19 exposure simply being around others, and that not wearing a mask could potentially increase the child’s risk of exposure. Documentation of this conversation should also include names of the individuals present during the discussion along with the rationale behind the agreed-upon decision.