Leave Application for Medical Treatment

Sample leave application for medical treatment. Formats of leave application for medical reasons are available for employees and students, to get operated/surgery or various other reasons. Easy template formats of leave application for medical treatment are provided.

Sample Leave Application for Medical Treatment

The Manager,
Aviva Life Insurance Company,
Bombay, India.

Sub: Urgent Leave from Office

Dear Sir,

With due respect it is to be stated that I recently have been diagnosed by a critical medical condition hepatitis B. Hepatitis B is an infection of a liver. It can cause scarring of the organ, liver failure, and cancer. This condition has made me bedridden. Therefore, It is not possible for me to come office and need leave for a month. Doctors have appointed me complete bed rest and assured me that if I follow the medical routine then I am hopeful to be healthy soon. This medical condition is deteriorating my health. I do not feel alright myself. Therefore, it is requested to give me leave for a month so I can recover early and get back to work as soon as possible.
Kindly, grant me leave for one month so I soon get back my health and come to work as soon as possible. I shall be grateful for this kindness.

Yours Truly,

Arjun Shah,
11th September, 2018

Easy Leave Format for Medical Treatment

The Manager,
Falcon’s Association.

Subject: Leave Application for Medical Treatment

Sir,

With high esteem it is stated that I’m unable to join office for a week. The unfortunate reason is that I have had a serious accident yesterday night and on account of this I am admitted in a nearby hospital. The physician has advised proper bed rest for a week otherwise the leg bone may suffer. I request you to kindly sanction me the leave for medical treatment. I shall be beholden and grateful.

Thanking you ahead of time.

Sincerely,

James Steven
Accounts Officer.

Sample Medical Leave due to Infection for Student

Respected Madam,

I am a student of 8th standard and currently unable to attend the school due to severe infection. I am in need of leave for next month as well. I am attaching my medical certificate with this application as an evidence and a way to appeal for further leave from the school. Thank you.

Easy Format of Leave Application for Medical Treatment

The Concerned Person,
ABC Organization.

Subject: Leave Application for Medical Treatment

Respected Sir,

It is to inform you that I’m not in proper state of health and able to come at office on regular basis as I’m suffering from Bronchitis, respiratory disease and on grounds of this condition of mine I require complete medical treatment of two weeks which is prescribed by the doctor.

I understand that my services are of utmost importance during this time but unfortunately its a bolt from the blue and I’ve got no command over it. I hope that you’ll consider my request for leave from 2nd May, 2016 to 16th May, 2016. I shall be utterly obliged enough.

Thanking you in anticipation.

Sincerely,

Name:
Designation:
Signature:
Date:

Sample Leave Application for Medical Treatment (Maternity Leave)

Manager Marketing,
Triple A Association, Gulberg,
Lahore.

Subject: Maternity Leave Application

Sir,
With due respect it is stated that I am Hina Akbar working as a marketing officer within your organization. It is to inform you that I want to avail the facility of maternity leave, given to female staff as per the policy of our organization.

Kindly, make it possible and grant me leave for two months dated as 1st June to 1st August. It would be a great favor for me. I shall be highly obliged.

Yours Truly,
Samra Yousaf.
Marketing Officer.
Date: 29th May, 2014

Sample Application for Medical Treatment Follow Up

The Manager,
Deva Mall, Dubai.

Subject: Application for Medical Treatment Follow Up

Respected Sir,

With due regard, it is to express that I had an accident in India before giving my joining here in Dubai. I was suggested by the doctors to visit them until complete health of mine. The treatment schedule is after each two months and now the due date of treatment follow up had arrived and I want to move to India for medical check-up as my previous history of accident and related medicines etc lies with them. Kindly retire me from my job for the period of one month. I would be very grateful for this act of kindness.

Thank You.

Yours Truly,
Mr. Perdeep Sahaye
October 27, 2015

Leave Application for Medical Treatment 

The Branch Manager,
Muslim Commercial Bank,
Gulberg 3, Lahore.

Subject: Leave Application for Medical Treatment

Respected Sir,

It is stated that I am working as a Customer Relation Officer within your organization, since two years. It is to inform you that unfortunately I had an accident last week and due to that my Left Arm is damaged badly and I am not able to move it.
Doctors have prescribed me bed rest and my operation is in next week. Kindly, I want you to grant me leaves for next 15 days from 10th July to 24th July as I am not able to come to office in this time span. I assure you to come back, as soon as possible. I will consider it a huge favor of you. Thanking you I remain.

Yours Sincerely,

Majeed Malik
Customer Relation Officer.
Date: 9th July, 2014.

Leave Application for Medical Treatment
Leave Application for Medical Treatment

 

Leave Application for Medical Treatment of Wife

The Manager,
Prima Corporation, Calcutta
India.

Subject: Leave Application for Medical Treatment of Wife

Respected Sir,

In high words it is to state that I am the worker of this valued company and I had come here from Shimla which is my home town. Right after my marriage I came here for earning the living for my family and still not blessed with baby. I wanted to retire myself from the current duties for one month so that I can plan a family of my own and can do the medical treatment of my wife with the consent and guidance of the doctors.

I had talked to my colleagues to carry out the duties that were previously assigned to me and in my absence there would be no issue regarding the work. Kindly grant me the leaves for the desired period. Thanking in anticipation.

Yours Truly,
Mr. Shugla Perdeep

October 6,2015.

Sample Medical Leave Application (For Teachers)

The Dean,
Literature Department.
Skills College, Model Town.
Subject: Medical Leave Application

Respected Sir,

It is stated that I am Maida Niaz working as an Assistant English Literature Teacher in this institution since last six months. It is to inform you that I am suffering from bad health since the one month. I went for medical diagnosis and according to prescription I have to get admitted in the hospital for next three days. During this period, my presence in college will not be possible. Kindly, allow me leave for three days 15th May to 17th May so that I can get my medical check up properly done.

I shall be grateful to you.

Yours Sincerely,
Maida Niaz.
Date: 15th May, 2014  

Sample Medical Leave Application (For Teachers)
Sample Medical Leave Application (For Teachers)

Sample Leave Application for Operation

The Finance Manager,
Rosepetal Company.

Subject: Leave Application for Getting Operated

Respected Sir,

It is stated that I am Farah Khan working as Senior Accountant within this firm. It is to inform you that I am not well and suffering from bad condition of health. Diagnosis has shown the presence of stones in my liver. For the reason, I am getting operated in the upcoming week.
During this tenure I will not be able to join in office. Kindly, grant me leave for one week. I will never forget this favor of yours.

I shall be utterly obliged.

Yours Sincerely,
Senior Accountant
Farah Khan.

Application for Medical Check up to Principal Sample

Respected Principal,
Esna Foundation.

It is stated that, I am working as Maths Teacher in your prestigious organization. This is to inform you that i am having severe headache and blood pressure issue since one month. I have consulted with my doctor and have an appointment for tomorrow at 11.30 a.m for my proper medical check up through tests. So tomorrow I would not be able to perform my school duty. Kindly accept my leave because health is more important instead of work. I would be highly oblige to you for this favor.

Thanking you I remain,

Yours Truly,
Sara Khan.

Sample Medical Leave of Absence

The Admin Manager,
Haroon’s Chemicals, Muscat.
Date: 23 -4-2015

Respected Sir,

I am writing to you to submit a formal request for a medical leave of absence due to my  serious health condition that requires operation. My physician has advised me to seek an immediate medical leave from work because, It is very urgent to handle my current situation of health. I will submit a medical certification form to verify the need for leave.

Please let me guide what additional information is required in order to process this request. I shall appreciate your assistance with this important health matter.

Yours Sincerely,

Gorge Greek
Junior Assistant Admin.

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77 thoughts on “Leave Application for Medical Treatment”

    1. It is stated that my wife is suffering from poor health and I have to take her to hospital tomorrow. For this I will not be able to come office. I hope that you will considerate upon my issue and grant me leave for one day. Thanking you.

        1. The Concerned Person,
          ABC Associations.
          Subject: Application for Leave
          Respected Sir,
          With due esteem it is to inform you that I am in need of leave for ‘Friday- 8th September, 2016’ on grounds of monthly checkup of my wife. The hospital staff is really time bound and if I would miss the date they won’t cater me later. Therefore, I request you to sanction me the leave. I shall remain obliged.
          Sincerely,
          Name
          Contact.

  1. I don’t have child after 3 yrs of marriage as I am working on cruise lines and come down to home town in 6 months. Now my doctor has advised to take leave and be with my wife how should I apply for leave.

  2. I am working in dubai ,I had accident 3 month before in my home country India,
    Now i am in dubai i want to go india for further treatment from india please give me a sample letter for medical treatment followup leave to my company manager

    1. The Concerned Person,
      It is to state that I am ABC working as XYZ in your prestigious organization. This is to inform you that out of my 30 allowed holidays of summer vacations I only have utilized 15 of them. I came to organization/institute in the remaining days and completed my working hours. Now, I want to avail the endured leaves. Kindly allow and sanction me. I shall be highly obliged.
      Sincerely,

    1. The Concerned Person,
      Hope to find you hale and hearty!
      I am writing to inform you that my son ‘ABC’ is student in your prestigious school in Grade-4. This is to inform you that he has been caught up by serious eye infection and for proper treatment he has to be admitted in the hospital until his surgery is undergone. Till then he is not able to come school and join his mates. I have attached the medical certificates and prescriptions with the letter. I request you to kindly allow him to take leave from office for one month. I hope that you’ll considerate upon the request.
      I shall be highly obliged.
      Thanking You.
      or you may find the format below:
      https://documentshub.com//leave-application-2/leave-application-for-childs-checkup/

  3. i am taken 30 days leave as a yearly vacation and now due to toothache i am surgery my teeth so it’s still pains a lot now ho do i ask to hr or my department for give me more 15 days to be ok!!
    wish to hear from you soon

    1. The Concerned Person,
      It is stated that I’ve recently came back to work after 30 days of my official yearly vacation. Unfortunately, I’ve came across severe toothache and for this I consulted doctor. According to the medical results, I’ve to undergo tooth surgery and for this I’ll be requiring leave for two weeks until I get better. I understand that prompt leave isn’t a good gesture but my health doesn’t allow me to continue work for the respective time period. Kindly, sanction me leave from 1st June to 15th June, 2016. I shall be obliged enough.
      Thanking you I remain.
      Sincerely,
      Name.

      1. I want to apply for unpaid leave application frm sept ending til nov 30th as wel as to mention my joining date frm dec 1st in same letter. Help me pls

  4. I want leave application request for my dental total extraction and temporary teeth had fixed now i need complete teeth implant treatment for that as per doctor given an appointment dated 10/07/2016 to 25/08/2016 i postponed to one month later from 20/082016 to 16/10/2016 56 days

  5. Plz give me the sample of application
    Which I have to write to the commandant to let him know that I am under medical treatment for some days and I can’t join my duty at present.

    1. The Concerned Person,
      Please be informed that I am under under medical treatment owing to (reason) and doctor has advised me bed rest on a serious note. The medical certificate is attached with the application and I seek your grant on my leave for certain span of absence. I’ll get back to work as soon as I’ll be better enough. I hope you’ll consider my request.
      Thanking You.
      Sincerely,
      Name.

  6. I was under gone through surgery of gall blader.
    Now my company require an application for leave.how I wrote this application.

    1. The Concerned Person,
      Most respectfully it is to inform you that I’ve not been able to come to office for previous one week. The reason is, I have gone through surgical operation of my gall bladder and owing to this my presence was not possible. I generally informed my manager through phone call but was not able to send an official application. Now, this application serves as an official intimation for leave due to my operation. I hope you’ll accommodate my request for leave adjustment for the days taken off.
      Thanking you in anticipation.
      Sincerely,
      X.Y.Z

    1. The Concerned Person,
      It is stated with reverence that I am unable to come to office and in need of medical leave for a week. The reason is, I am suffering from pilonidal sinus and I am getting operated tomorrow. After the operation I’m prescribed to take rest. On these grounds, I request you to please grant me leave for a week i.e. from 17th October to 23rd October, 2016. I shall remain obliged.
      Thanking you I remain.
      Sincerely,

  7. how can i write email to my manager about my 1 month leave.i ma in abroad now,i have a critical health issue.i want complete treatment in my home country.

    1. The Concerned Person,
      It is stated with deep esteem that I am in need of leave on account of my health problem. Sir, I am suffering from ABC and in order to get my treatment I need to get back to my home country. For this, I request you to kindly sanction me leave for a month it would also include my yearly leave. I shall be highly obliged to you.
      Thanking you in anticipation.
      Sincerely,
      Name and Contact

    1. The Concerned Person,
      With due reverence it is stated that I am in need of leave for a day on account of visiting my optician. I have got appointment for tomorrow after long, I request you to please sanction me leave for 5th Jan, 2016. I shall be highly obliged.
      Thanking You.
      Sincerely,
      Name and Contact

  8. my mom has been working with a school for over 15 years and has never taken a leave, how does she go about applying for one for the purpose of getting some much needed rest.

    1. The Principal,
      ABC Institution.

      Subject: Leave Application

      Respected Madam,
      With high esteem and regard it is stated that I want to apply for leave of one week on account of taking rest. It is worth mentioning that I am serving this institution for over 15 years but I have not taken any leave except the available ones. Owing to my health I have to take some rest from the normal routine therefore I am writing for the purpose. I want you to please sanction me leave for the mentioned time. I shall remain obliged.
      Sincerely,
      Name and Contact.

    1. The Manager,
      ABC Organization
      Subject: Leave Application for Medical Treatment
      Respected Sir,
      With high esteem it is stated that I’m unable to join office for two weeks on account of medical leave. The unfortunate reason is that I’m severely ill and doctor has prescribed me bed rest until I recover. I’m attaching the medical certificate with the leave. I request you to kindly sanction me the leave for medical treatment. I shall be beholden and grateful.

      Thanking you ahead of time.

      Sincerely,
      Name and Cotact

        1. The Finance Manager,
          Rosepetal Company
          Subject: Leave Application for Getting Operated
          Respected Sir,
          It is stated that I am (name) working as (designation) within this firm. It is to inform you that I am not well and I need to get my eyes operated in the upcoming week. During this tenure I will not be able to join in office. Kindly, grant me leave for one week. I will never forget this favor of yours.
          I shall be utterly obliged.
          Yours Sincerely,
          Name and Designation

  9. I am Blood Sugar patient, and can not sit continue long hour in the office, so I need short leave before an hour for a month or long.

    1. The Concerned Person,
      With intense reverence it is stated to inform you that I am Blood Sugar Patient and I cannot continue to sit for long hours in the office. Owing to my health it is not possible for me at all moreover I can;t leave the job on account of this. I humbly request you to please allow me to take off an our before the regular timings. I hope that I’ll adjust soon. I request you to please consider my application.
      Thanking you I remain.
      Sincerely,
      Name and Designation.

  10. dear sir,
    I wold like to get leave application for the period of 1 year on the ground of fertility treatment. stating below points 1.Mrried 7 years back 34 year lady 2. Misscarried two times 3. undergone 2 surgeries 4. doctor advised for rest and treatment. please consider it as urgent matter.

    1. The Concerned Person,

      It is stated with due reverence that I want to apply for leave for a period of 1 year on account of my treatment. I want to inform that I got married 7 years back and till now I’ve had miscarriage two times and have undergone 2 surgeries. Moreover, doctor has prescribed me to take rest. In order to get treatment completed I need leave from work. I hope that you’ll consider my situation and will grant me leave on the basis of above mentioned reasons. I’ll be obliged enough.

      Yours Sincerely,
      Name and Contact

  11. I want leave application request for my dental total extraction and temporary teeth had fixed now i need complete teeth implant treatment for that as per doctor given an appointment dated 20-07-2017 to 26/07/2017.

  12. I m a govt servent, i have extracted (removed) my four teeth recently. i want to a leave aplication for 5 days for recovery of wound.
    thanks
    Niaz from KPK

    1. Dear Sir,
      It is to state that I have been going through severe pain in my mouth due to which it is really hard for me to work with concentration not even that I am restless for many nights. The reason for all this is the infection in my gums. I have removed four teeth because of this infection but still there is no effect seen so I want leave for five days for treatment.
      Yours Truly,
      Mr. Niaz

  13. Last 6 Months I’m suffering from stomach problems, 3 months back I resign from my current company, due to unavailability of replacement my resignation was canceled now I want to go for vacation for 4 Month for complete treatment in my home country.

    how can I write an application to my manager about 4 months leave?

    1. Respected Sir,

      It is to state with much regret, but I am really with very critical stomach problem. I resigned from my current seat due to this suffering, but it was declined by my high ups. Still now my stomach ache is declining day by day. Its treatment requires complete four months’ bed rest. Kindly grant me the leaves for the cherished period for my dear life. Thank you so very much.
      Best Regards,
      ————

    1. Use the above provided format with the statement that:
      ‘I want to apply for leave on account of my legs treatment. Please consider it as medical leave and grant me three months vacation as I need to get my legs operated’.

  14. Sir my daughter has an appointment with her doctor on Thursday, 14th September 2017, for her Thyroid treatment. She is student of 7th class. Please tell me how to write a leave application to the principal.

    1. The Concerned Person,
      It is stated with due reverence that my daughter is student of grade 7th in this institution. She has thyroid problem and I’ve arranged her appointment with doctor on 14th Sep, 2017. I request you to please grant her leave for a day. I shall be obliged.

      Sincerely,
      Name and contact

  15. How to write an leave application I was under going treatment but my operation has finished doctor advised me 4 week bed rest

    1. Respected Sir,

      I am a chronic patient of heart disease and currently I had undergone the risky process of open heart surgery and thanks to Providence that my operation went successful, but doctor advised me complete bed rest for quick recovery and healing. Kindly grant me leave of one month in this connection. Thanking you in anticipation.

  16. Sir i m suffering from chest infection and allergy dust and smoke etc.
    i want to write an application for 3 days medical leave for rest.
    i m urdu speaker . i can,t write an english application for leave. so plz help……
    thanks

    1. Respected Sir,

      With kind concern, it is to state that I am suffering from a very bad chest infection that caught hold of mine due to dust and smoke as I am allergic to them, but due to job requirement I have to move out of my comfort zone to ear the living for my family and for my sustenance as well. The severity of infection now hampering me in further moving for the job so kindly grants me the leaves of three days as per medical prescription. Thanking in anticipation of favourable action.

      Yours Sincerely,
      ————–

  17. how to write annual leave application 40 days . reson for leave –
    my wife is pregnent(high risk pregnency) of 8 month , and we are going india for her delivery .we are waiting for a child since 6 years. two misscarriages done. Leave wants till nov 12,becouse she compleating 35 weak on nov 13. Flight travel not allowed after 35 weak of pregnency. delivary date dec 15. Wife needs care and she wants every weak scaning and cheakup, because his condition is poor told by docter. we are in UAE

    1. Sample Letter Format of Requesting Annual Leaves due to Wife’s
      Pregnancy

      Respected Madam,

      With due respect and honour, it is to state that my wife is expecting a child of 35 weeks and due to her earlier two miscarriages, doctor advised us to take extreme care of her and move her on the native land of hers and for that reason I am in need of 40 days leave. I cannot take any kind of risk this time as we are yearning for this child from the past six years. Kindly cooperate with us in this hour of need in the name of humanity and grant me the required 40 days annual leaves. Thanking in consideration.

      Yours Truly,
      ————–

    1. Sample letter format of leave of one week for IVF treatment

      Respected Sir,

      It is to state with due respect and attire that I am suffering from vitro infection and could not be deem fit for conception and doctor advised me proper check up of IVF in this connection so that real and exact problem can be figured out. This whole process will take at one week and I would like to apply for this period so kindly grant me the said leaves for my future concern. I would be brimmed withgratification if you do me the favour of granting the leaves.

  18. How to apply before one year me accident. I have done it operation.left arm problems not solved . How written letter

    1. Respected Sir,

      With due respect, I am here to explain myself. I am suffering from an internal injury in the backside and couldn’t locate the exact issue and decided to consult the doctor. He suggested me minor surgery and a bed rest of 15 days. I am attaching the medical certificate with this application so that I may get the leaves for 15 days as soon as possible. Thanking in consideration.

  19. how can i write a letter to the registrar of my university to get the leave for 12 days for my wife medical treatment .this treatment not available on government hospitals.

    1. Dear Sir,

      It is to state with much respect that my wife is in critical situation and needs a surgery on urgent basis. The operation facility is not found in government hospitals and is only available in private hospital of Lahore so I request you to grant me 15 days leave from my chair in this regard. Thank you.

  20. Hi sir

    i m working in ksa , my father is heart patient and i want to go for 1 month vacation for his treatment, for 1 month vacation.

    1. To,
      The Principal,
      Xavier’s High School,
      Hindpur, India.

      Subject: Leave application due to ankylosing spondylitis

      Respected Sir/Madam,

      With utmost respect, it is to bring in your knowledge that I met a critical accident two days ago. My cousin is admitted in hospital and I also sustained some injuries but I thought that I will be recovered by it soon. But to my surprise, I started to have uncontrolled pain back in my spine which has been diagnosed as ankylosing spondylitis. It has caused a lot of pain in my neck following to my lower back. Ankylosing spondylitis can cause an overgrowth of the bones, which may lead to abnormal joining of bones and it is not just limited to pain it has also caused high fever, fatigue and loss of appetite. This constant pain and stiffness has made me bed ridden.
      This is my request to you to please permit me leave for a week so I can get a proper treatment and physical therapy. I shall be highly grateful.

      Yours Sincerely.
      Mr. Ishaan Ambala,
      25th December, 2018

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