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Fillable Printable Medical Hardship Letter Samples

Fillable Printable Medical Hardship Letter Samples

Medical Hardship Letter Samples

Medical Hardship Letter Samples

Hardship Letter from Doctor
{Your Name}
{Hospital Name}
{Your Address}
{Your Phone #}
{Case #}
{Date}
To Whom It May Concern:
As {Name}’s doctor, I am writing to confirm that {he/she} is unable to {perform
duty/work/make payments} due to {serious injury/illness}.
On {date}, I diagnosed {Name} with {injury/illness}. {He/she} was presenting
symptoms such as {list of symptoms}. Since these are serious symptoms that
require medication and rest, it means that {Name} is unable to {action}. This
period of rest and recuperation should last between {number} and {number}
days, or until {date}.
Please contact me if you have any further questions about {Name}’s abilities or
limitations.
Sincerely,
{Sender Name}
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