Letter Requesting Medical Leave

Below is sample letter requesting medical leave :

Your Name
Company Name
Street Address
City, ST ZIP Code

Recipient Name
Organization Name
Street Address
City, ST ZIP Code

Dear Recipient Name:

The company doctor, Dr. Steven Khoo, has informed me that I should go to the General Hospital in Kuala Lumpur for a thorough medical check-up. Dr. Steven suspects that I have a kind of blood disorder but he is unable to ascertain its nature, hence my need to seek specialist help.

Could you grant me two weeks medical leave beginning 25 Jan 2xxx so that I can get necessary medical attention? I have made an appointment to see a specialist doctor in the GH on 27 Jan 2xxx and Dr. Steven says that I probably have to be warded. Thank you.


Your Name

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