Fillable Printable Medical Authorisation Letter Sample

Medical Authorisation Letter Sample

Medical Authorization Letter

To,

Mr. Sahil Kulkarni.

Wockhardt Intensive Unit

Human Resource Department

Mulund

Sept 2010

Subject: Authorization Letter on medical terms & grounds.

Dear Mr. Sahil;

With reference to the disclosure notifications on medical terms dated 25

Aug 2010. By the intensive unit, I the undersigned employee from general

ward section of your esteemed intensive unit would like to hereby consent

& authorize to make use of & disclose the personal medical information as

may be required as per the notifications announced. Further I am also

ready to do the needful to update the medical information & also take

necessary efforts to contribute in the task to make it possible in a

convenient way.

Further having taken advantage of the medical campaign organized a week

before; thereby enclosing the medical report recently diagnosed by the

doctor prescribed by the intensive unit. Kindly acquaint us the course of

action to complete the authorization formality and if any other documents

also need to be submitted.

Yours Sincerely,

Mr. Akshay Purohit.