Tag Archives: Sample Leave Application for Medical Treatment.

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. These messages can be used to ask for a leave for your medical treatment. You can make changes where needed.

General Leave Applications Formats

From here you can find out more formats of applications. Enjoy reading.

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, 2023

Leave Email to HR for Medical Treatment

Subject: Request for Medical Treatment Leave

Dear [HR Manager’s Name],
I hope this email finds you well. I am writing to formally request a medical treatment leave from [start date] to [end date]. I recently consulted with my doctor regarding a health concern, and it has been advised that I undergo a medical treatment that requires me to take time off work for recovery and follow-up appointments.
I apologize for the short notice, but the urgency of the situation necessitates prompt action. The medical treatment is scheduled to begin on [start date], and I anticipate that my recovery period will extend until [end date]. During this time, I will be under medical supervision and following the prescribed treatment plan to ensure a swift and successful recovery.
Please let me know if there are any additional steps or forms required to initiate the medical leave process. I am more than willing to provide any necessary documentation from my healthcare provider to support my request. I value open communication, and I will keep you updated on my progress and any changes in my anticipated return date.
I understand the company’s policies regarding medical leave and will adhere to the necessary procedures and requirements.
Thank you for your understanding and support in this matter. I genuinely appreciate the company’s commitment to the well-being of its employees and the assistance provided during challenging times.
Looking forward to a successful recovery and returning to work with renewed energy and dedication.
Kind regards,
[Your Name]
[Your Employee ID or Department]
[Your Contact Information]

Email to the Boss Asking for Leave to get Medical Treatment

 To: Mr. Abhijeet Verma

EXS Bank, Mumbai.

Subject: Leave Application to Get Medical Treatment

Respected Sir,

This is to ask you for getting leave for the next week. As you are already aware that I have pretty bad eyesight and use very heavy lenses now that messes with my head and eyes all the time. I have been suffering from headaches and eye sensitivity for weeks now and have decided to get Lasik surgery finally as my eyes badly need it. I am no longer able to do the screen work easily on my laptop which my job requires. To get this treatment easily I would request you approve my leave. So that I can get this surgery done and get better in this situation. Thanks.

Shubam Kohli.

Easy Leave Email for Medical Treatment

The HR Manager

Subject: Easy Leave for Medical Treatment

Respected Sir,

It is stated that, I am working in your organization since long. I always worked with devotion never took any single off.  Sir, I am feeling down from past 4 days, feeling not so well. I think I should get my complete medical checkup for once.  For this reason, I shall take off from work.
Kindly, consider my reason. I shall be highly obliged.
Yours Sincerely,

Easy Leave Application for Medical Treatment going Out of Country

The HR Manager
(Company Name)

Subject: Leave Application for Medical Treatment
Respected Sir,
It is stated that, I am suffering from hyperthyroidism and in Pakistan there is not good specialist of thyroids. One of my family friend lives in abroad and here he has taken an appointment from doctor.
From October 1 to 13, I want leave for my medical Checkup.
I will get back to you, once I am done with my checkup.
I hope you will understand my situation and allow me take off.
Thanking you in advance.

Yours Sincerely,

Sample Leave Application for Medical Treatment.



Tata motors,

Subject: leave application for medical treatment.

Respected Sir,

With due respect, it is stated that I am Rakesh Sharma, working at your subdivision. I have been suffering from severe back pain for years and at this point, this has impaired my mobility and I am having difficulty walking, using stairs, and doing routine tasks. My office work also demands I sit at the same spot for hours which is adding up to my trial. Sitting and working at the office has become a burden on my body.  I have tried numerous medications but nothing seems like working so I am finally getting my physiotherapy started to help my condition now.
I need some rest and some time to recover. I will be having my therapy sessions 3 days this week. I think it will be better for my body to not burden it up and kick start my recovery. For this, I need a full week’s leave. I will be very thankful if you consider my situation and allow me to work from home. I will try my best that my job does not suffer. I am attaching my reports in case you want to see them.


Rakesh Sharma.

21 November 2020.

Sample Leave Application for Medical Treatment



Sony Company,


Subject: leave application for medical treatment.

Respected Sir,

I am writing you this to seek permission to get a leave for a few days as I am going to get my Lasik surgery done. I have had bad eyesight for quite a few years now and have been using glasses to see and especially during my working hours. My work mainly consists of screen work. Due to spending a lot of time on screens and using multiple devices be it for personal or professional reasons I have started getting headaches and blurred vision to a point that my glasses feel like a burden and only add up to my pain and irritation. Due to this reason, my doctor advised me getting a Lasik surgery done so I can stop wearing glasses all day long as it will ease my irritation and will let me see without glasses. I am very hopeful that the process will be good for me and will take a week to recover.
Due to this reason kindly allow me to leave for a few days. I am attaching my reports for you to consider. Will join the work as soon as I could. I will be thankful.

Suresh Raina.

5th October 2021.

Easy Leave Format for Medical Treatment

The Manager,
Falcon’s Association.

Subject: Leave Application for Medical Treatment


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.

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.



Sample Leave Application for Medical Treatment (Maternity Leave)

Manager Marketing,
Triple A Association, Gulberg,

Subject: Maternity Leave Application

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

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,
Rose petal 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,
Ehsna 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.


To,                                                                                   January 16,2020
The Principal /Head of Institution ,
School/College / Institution’s Name,


Dear Sir,

Please be informed that I am suffering from some kidney problem since last three –four days. So I attended my physician last night and he advised me for one week bed rest. His prescription and advised are annexed. Due to which I cannot attend my school/college/ institution. Kindly grant me leave for one week 16-01-2020 to 23-01-2020. I shall be very grateful to you for this kindness.

Thanking you I remain,
Your’s Obediently,