Medical leave Letter


A medical leave letter is written by an employee who wishes to apply for leave based on health reasons. Sometimes an employee is required to submit a request for taking leave during work hours or any work day to go for a checkup, especially if the doctor’s appointment is known beforehand.

Before beginning to write a letter like this, you must make sure that the company or organisation in which you work, have got any guidelines that must be followed by the employees while writing a letter. And if it has  something of that’s sort, then it must be written accordingly. The letter must include the reason for your medical leave and if possible, it is good to have your doctor’s prescription attached along with the letter which acts as a proof for the same.

Sample Letter


Jason Washington,

Senior Analyst,

Global Technology Industry



Matthew Fontana,

Project Manager,

Global Technology Industry,

Dear Mr. Fontana,

RE: Medical leave request

I am writing this letter to inform you that I am due for a medical checkup as per the company’s policies for employees above 50 years old. Having checked on the company doctor’s availability and my work responsibility, I would like to request for Monday morning off, to go for my medical checkup which is dated on DD/MM/YYYY. I am extremely sorry for not informing this to you before one week. I got an appointment lately and so I couldn’t let you know.

I shall most likely be back to work in the afternoon, if there is no rush at the doctor’s office. If otherwise, I shall call in to inform. I shall ensure that all my work responsibilities will not be affected by this checkup request.

I am attaching a copy of the doctor’s prescription along with this form and if you need a medical certificate for the same, I can bring that also.

Thank you for your kind understanding and prompt approval of my request.

Yours truly,

Jason Washington

Senior Analyst


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