Medical Treatment Authorization Letter templates

Template: 1

Medical Treatment Authorization Letter

(Your name)

(Your address)

(Your contact information)


(Name of the Recipient)

(Address of the Recipient)

(Contact Information of the Recipient)

Sub: Letter of authorization for Medical treatment

Dear (Name of the Recipient),

I, (mention the name of the person) am an employee of your company for previous (mention details) years. I am working as a (mention the name of the post) in your department of (mention the name of the department). Now I have become an eligible person for your medical benefits. As I am suffering from (mention the reason and illness). So I am requesting you to complete the process of getting my medical treatment done by your organization (mention details).

I feel very sorry for not being able to contact with you personally regarding this matter. I am attaching all related documents and medical prescriptions of (mention details).

For any type of query you can contact me at any time. I am ready to help you as per my capability.

Rest assured that I am taking full responsibility of this request and will try my best to help you.

Hope you will consider my request and oblige me.

Thank you very much,


(Hand-written Signature)


(Notary or witness if required)

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