Medical Treatment Authorization Letter, Sample & Format

Medical Treatment Authorization LetterA Medical Treatment Authorization letter is usually written by the management of a company to allow one of its employees to seek medical treatment that is outside the normal medical care provision during employment. This medical treatment authorization letter is usually directed to the appropriate medical practitioner to assist the employee in seeking relevant medical treatment at the expense of the company.


Thomas M. Evans

Human Resource Manager

Delaware Management Services

1949 Hillside Street
Scottsdale, AZ 85253

February 12, 2011

To Whom It May Concern

RE: Medical Treatment Authorization Letter

This letter serves as an authorization from Delaware Management Services to allow relevant medical treatment required by Ms. Goldie Hawks.

Ms. Goldie Hawks is a current grade 2 employee at Delaware Management Services and is entitled to a hospital insurance of up to $100,000.00 which includes hospitalization, medication, medical tests and minor surgery. Any procedure outside the mentioned scope or insurance quantum will require another authorization from Delaware Management Services beforehand.

We trust that the above information is sufficient and clear. We hope that the best medical treatment will be given to Ms. Goldie Hawks about her medical condition. Should you have further queries with regards to the above caption, kindly call on the contact person at Delaware Management Services.

Thank you for your full cooperation.

Yours Sincerely,

Delaware Management Services

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