Tag Archives: Medical

Sample Authorization Letter for Medical Care

Sample  Medical Authorization Letter. Employees or employers get in problems sometimes as is very normal in lives of mankind, but this problem is due to their loved ones so they had to take care of themselves as well and wished to demand for authorization of medical care for them. This format can be used by persons who wanted to get the authority letter for their special ones.

Sample Authorization Letter for Medical Care

TO WHOM IT MAY CONCERN

It is to notify that I am Mr. Ahsan Gill resident of Defense Housing Society. My home address is House no. 36 street no. 8 sector E phase X. My mother named Ms. Salma Raza is a chronic patient of diabetes and recently she had fallen down in bathroom and got her leg fractured. She is suffering double pain as she is diabetic as well and her wounds are getting more than required time for healing. I am a businessman and I had to move in and out of the country for official meetings and conferences or getting new tenders.

It is now becoming very difficult for me to stay back and assist her in her illness so, I am authorizing her medical care to my employee named Mr. Ehsaan Ahmed with national identity card number 3215-764325- 8 and house number 58, street number 34 kaboter pura Lahore. In my absence he will be responsible for my mother’s health and care in medicine and all related issues. In case any issue popped up in my absence, he is allowed to call me or any of my relatives for his help. All the legal documents regarding my mother’s medical care are given to him along-with the contact numbers of my family on need base.

Regards,
Chairman,
Kareem Enterprises
Lahore, Pakistan.

Sample Medical Claim letter

Sample Medical Claim letter from company. Nowadays getting ill and bearing medical expenses is monstrous. Companies who give finances for the medical expenses to their employees receive the letter claiming of medical expenses. This format is an aid for such individuals.

Sample Medical Claim letter

To,
Managing Head,
Freelancer Organization.Com,
Buffalo, United Kingdom.

Subject: Sample Medical Claim letter from Company

Respected Sir,

I hope wave of health gliding on you and your family. I had told you personally about the surgery of my son few days ago and you suggested me to get him admit in the good hospital for the better treatment and not to worry about the medical expenses. I obeyed you and did the same. I borrowed money from my co-workers and arranged the on-spot finances medicine and injections.

I am now here requesting you to give me the finances back to me so that I can be in better position to take care of his health after surgery. Awaiting for your positive responce.Thank you
Yours Sincerely,

Mr. Richard Henry,
Date 1 st May, 2017

Sample Medical Claim Letter for Mother

To,
Managing Head,
Up Work Organization.Com,
Buffalo, United Kingdom.

Subject: Medical Claim Letter for Mother

Respected Sir,

It is always a pleasure to write up any genuine demand to you and getting rewarded in couple of weeks from your side. With the grace of God,my mother is now resting in her home enjoying good health. She had faced a very tough time at hospital and I had spent a lot of money in her treatment. The total expense cost is $300 and detail of each tablet is mentioned in the descriptions attached with this application for claiming the money. I hope to get the said amount as soon as possible. Thanking you in anticipation.

Yours Truly,

Mr. William James Henry,
Date: 1 st May, 2017

Sick Leave Application due to Heavy Dose of Medicine

Sample sick leave application due to heavy dose of medicine for employees and students. Easy application formats are here.

Sick Leave Application due to Heavy Dose of Medicine

To,
The Manager,
Galaxy Glitter paper industry,
London, United Kingdom

Subject: Leave application due to heavy dose

Respected Sir,

With due respect, it is stated that I am an old person and getting age day by day,the old age is linked with many other issues among them is forgetful memory! I am patient of chronic migraine and without having sleeping pills I am unable to
sleep, so I took, by mistake double dose of sleeping pills!
The dose caused my head spinning like a wheel and my eyes are feeling heaviness. I am losing concentration and unable to see or hear anything properly.With this state it is impossible for me to join the office. My son is writing down this application on my behalf.

I request you to provide me a leave for a week in order to come into my normal health. I will be very grateful to you for giving me leave.

Yours Sincerely,
4 th October, 2016

Sample Sick leave application due to Heavy Dose

To,
The Principal,
Greenwood Primary School,
London, United Kingdom

Subject: Leave application due to heavy dose

Respected Sir,

With due respect, it is stated that I am student of class 9 th and due to an accident I was under observation in the hospital. During my operation, held yesterday, I was given a heavy dose of anesthesia. The dose made me dizzy, my head is
pounding and I am up till now not fully recovered from the effects of the heavy dose given by my doctor.

I had attached medical certificate and other detailed letter with this application for your kind review. Kindly give me the leaves for another three days so that I can feel fully recovered. I’ll be very thankful to you.

Yours Obediently,
Mr. Roberto Carlos,
4 th October, 2016

Sample Medical Grievance Letter from Patient

Sample format of Medical Grievance letter from patient. Hospitals are the places that are madly sought after when some sort of illness or sickness dawn upon the healthy person. These are also the most rush areas as well and being human as to err is human, doctors can make mistakes or can be less hospitable.Patients on the other hand do reserves the right of showing their grievance of any sort to the concerned doctor or hospital.

Sample Medical Grievance Letter from Patient

To,
The head of Cardio Vascular Department,
Ontario, Canada.

Subject: Letter of Medical Grievance from patient

Respected Sir,

With due concern, honour and respect, I would like to introduce myself. I am Mr. Tom David and a regular patient of your department. I am suffering from HBP from the last twenty years and from then. I came here for my routinely check-up.

I must say, your team of doctors are very good natured and humane in their spirits. I had no issue from them in my so far check-ups, but now the newly inducted staff had annoyed me and caused me at serious risk of heart. The whole staff is young, but ill-mannered and not professionally polished. They even do not have the care of how to attend the patient and how to tackle the instruments! I am telling you that if the same practice will continue in the future as well then you will lose a great deal of owe and respect from your patients and the reputation of the hospital will be at stake! Rest assured, you can
better understand. Kindly don’t mind my words but see between the lines. Thanking you in anticipation.

Regards,
Mr. Tom David
26 July 2016

Medical Grievance Letter from Patient
Medical Grievance Letter from Patient

Request Letter to Doctor for Free Medical Camp

Sample Request Letter to Doctor for Free Medical Camp. Free camping are arranged to facilitate the remote areas and the dwellers of that area on the basis of humanitarian stance. Student federation are active nowadays very mindful of health issues and many a time they arranged such campaigns. This format is meant to assist the persons or federations for medical camping.

Sample Request Letter to Doctor for Free Medical Camp

To,
The Head of Oncology,
Sunshine Breast Cancer Care Hospital,
London, United Kingdom.

Subject: Request Letter to Doctor for Free Medical Camp

Respected Sir,

It is to state with much humbleness and gratitude that I am President of Student Council of my college.My college is located outside the vicinity of London and remote from the access of advance facilities of health. The awareness level regarding health issue is of minimal level at my side.

I, with the help of my college mates, had recently arrange medical camp on Hepatitis in my area and the results are fruitful as people are now boiling the water for drinking purpose and taking cleanliness measure in food as well.

Breast cancers are very common nowadays. It is sad figure that the outburst is alarming due to the lack of awareness. All I wanted is a favour of sending efficient and willing doctor from your doctors’ team on
humane basis.

I request you to please arrange the free medical camp for my area as we are not rich to pay you the expenses that’s why we are demanding a willing doctor but with your permission. Kindly grant us the permission for doing so. We want heath of ladies as well so that they can participate even more in the development of our nation and country. Thankyou very much for your concern.

Yours Truly,
Ms. Elizabeth
Cross School System.
25 July 2016

Request Letter to Doctor for Free Medical Camp
Request Letter to Doctor for Free Medical Camp

Leave Application due to Throat Infection

Sample format of leave application due to throat infection. Gullet is the mainstream human organ and it serves the purpose of eating, drinking and speaking simultaneously. The aching throat can cut one’s life in no seconds as one cannot communicate with others and could not do any gullet function properly.This format of application can be used by employees,students,parents who seeks health.

Leave Application due to Throat Infection by Employee

To,
The Manager
Airtel Groups of Companies,
New Delhi, India

Subject: Leave Application due to Throat Infection

Respected Sir,

Most respectfully it is stated that I am in agony of throat infection that may be caused due to some badly fried food being eaten up by me last night. The momentary taste is now causing me a lot of distress and can’t even speak properly. The problem is getting worse now and I could not tincture my attention on my office work. Kindly grant me sick leaves for two days so that I can battle with the soreness of throat. Thank you

Yours Truly,
Sambah Gosh
May 05, 2015

Leave Application due to Throat Infection by Employee
Leave Application due to Throat Infection by Employee

Leave Application for Throat Infection by Parents

To,
The Principal
Baghut Singh Primary School,
New Delhi, India

Subject: Leave Application for Throat Infection

Respected Madam,

Most respectfully it is stated that my child Arnav  Singh of 5TH A Class is in agony of throat infection that may be caused due to drinking cold and chilled bottles served in canteen cafeteria of the school. The problem is getting worse now and he could not tincture his attention on anything at all. Kindly grant him sick leaves for two days so that he can battle with the soreness of throat. Thanking you i remain.

Yours Sincerely,
Abash Singh Gosh( Father)
May 15, 2015

Leave Application due to Kidney Pain

Sample Leave Application due to Kidneys Pain.This sample leave application format can be used by people who seeks health or are concerned about bodily health and fitness. The extract can be amalgamated in medical sermons and circulars.Easy format of leave application is here.

Leave Application due to Kidney Pain

To,
The Manager
Baghut Singh Enterprises,
New Delhi, India

Subject: Leave Application due to Kidney Pain

Respected Sir,

Most respectfully it is stated that I am a patient of chronic pain of kidneys. The aching situation started few days back but I overlooked it as was a routine matter for me but yesterday the pain dragged me to my death place almost. I could no longer muster up my courage to stand for even few seconds.

I want to have a complete checkup from my family doctor so that I can beat the engorging pain of kidneys. Please consent the leaves for the period of one week in favour of me. Thanking you i remain.

Yours Truly,
Anaash Singh Taro
May 15, 2015

Leave Application due to Kidney Pain
Leave Application due to Kidney Pain

Leave Application due to Kidney Operation

The Manager,
Falcon’s Association.

Subject: Leave Application due to Kidney Operation

Respected Sir,

It is to inform you that unfortunately I am suffering from unfit health conditions since a week. I consulted a doctor and through tests I have come to know that I have got kidney stones. Owing to this chronic disease I need to get operated on priority basis. Doctor has provided me the date of operation in the next week, that is 8th September, 2015. I want to request for leave of one week so that I can recover and be able to get back to work. Kindly, consider my request and sanction me leave from 8th-14th September, 2015. I shall be extremely obliged.

Thanking you ahead of time.

Yours Truly,

Sam Kim.

Leave Application for Child’s Checkup

Sample Leave Application for Child’s Medical Checkup from Office.This sample leave application format can be used by employees/teachers and other official persons who seeks health or are concerned about bodily health and fitness of their newly born or younger kids.The extract can be amalgamated in medical sermons and circulars.

Leave Application for Child’s Checkup Sample

To,
The Principal
Moon Lit Model School
Bihar, India

Subject: Leave Application for Child’s Checkup

Respected sir,

Most respectfully it is stated that my youngest child is currently suffering from the distress of the nasal infection of eyes that is common among kids in this season.Being the head of family it comes in my duties to save my family from any unhappy situations. I want to take my child to hospital for her complete checkup. Kindly grant me leaves of one day so that I can save her from the ailment. Thank you.

Yours Truly,
Anund Patuk
May 29, 2015

Leave Application for Child's Checkup Sample
Leave Application for Child’s Checkup Sample

Leave Application from Office due to Child’s Checkup

To
The Manager ,
Gage International

Subject: Leave Application from Office

Dear Sir,

Please be informed that my daughter is suffering from high fever and facing stomach problem since last one week. I have consulted  physician but all in vain. Now I have taken an appointment with child specialist. He has advised me for medical tests so that he can find out the real disease.Sir,I urgently need leave for today for her proper medical checkup. I hope you will consider my request because being a father its my priority. Thanking you in anticipation.

Yours Truly,

Arshad Khan
Assistant Admin Department

 

Leave Application for Child Check up due to Severe Illness

Respected Sir,

It is to state with much love and care that my child is suffering from high fever and his fever is not coming down. I need to have proper check up of my child and for that reason I want two days leaves from the office so that I can fix my appointment with my family doctor. I would be very grateful to you for this act of kindness if you grant me the said leaves. Thanking in anticipation.

Your Truly,

Hanary Raj

 

Application for Clearance of Medical Bills

Sample Application for Clearance of Medical Bills. If any employee wants to request for the clearance of medical bills from his company, he may use the provided format of application for clearance of bills. This is possible only in case if company is ready to bear all the medical expenses. Easy format is given below.

Application for Clearance of Medical Bills

The Finance Manager,
Falcons Association.

Subject: Request for Clearance of Medical Bills

Respected Sir,

With due esteem and regard it is stated that I have submitted the medical bills of my mother’s treatment one week ago. According to company’s policy I am provided with the medical allowance and medical bills payment facility after probation period. As it’s been a year working here and being permanent employee now, I want to avail the facility.

Recently, my mother was admitted in hospital due to her kidney transplant and the bills are to be cleared by company’s panel. It is requested that kindly clear the submitted bills as soon as possible owing to hospital’s rules and regulations. Copies of bills are attached with the application. I shall be obliged for this and will remain beholden.

Thanking you ahead of time.

Yours Sincerely,

Sunny Merchant,
Assistant Finance Manager.
Falcon’s Association.

Application for Clearance of Medical Bills
Application for Clearance of Medical Bills

 

Application for Free Medical Treatment

Sample application for free medical treatment.If someone have financial problem and he/she can not afford medical treatment then, they can use this format of application to trust director for request of free medical treatment due to poorness or shortage of funds. Easy and simple template is here for your help.

Application for Free Medical Treatment Sample

To,
The Trust Director Finance,
Welfare of Needy and Poor.

Dear Sir/Madam,

It is stated that my friend was working in private organization as a sales person and he was earning very low income which was not sufficient to maintain all expenses. He do no have any savings to be used in such crucial and critical tenure. Sir, unfortunately my friend is on dialysis since last 1.5 years, his both kidneys are expired and he needs transplant on urgent basis. He is on leave  last since 6 months.Their is no reliable source of income as his elder brother is a clerk in a govt department and has insufficient salary. In an accident his leg is broken .Therefore, I strongly request you provided funds for his free treatment because he is in dangerous condition of health and doctors has advised him operation which will require Rs. 7-8 lac So that, he will be able to handle his family. It will be a great help of him. I shall be very thankful to you.

Yours Truly,
Ahsan Hameed

Application for Free Medical Treatment Sample
Application for Free Medical Treatment Sample