Leave Application Formedical Treatment
Leave Application Formedical Treatment
Leave Application Formedical Treatment
Com
LEAVE APPLICATION
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. Easy template
formats of leave application for medical treatment are provided.
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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 fol-
low 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 re-
cover 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, 2018
Sir,
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.
Sincerely,
James Steven
Accounts Officer.
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 ev-
idence and a way to appeal for further leave from the school. Thank you.
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 com-
plete 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.
Sincerely,
Name:
Designation:
Signature:
Date:
Sir,
With due respect it is stated that I am Hina Akbar working as a marketing officer within your organiza-
tion. 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
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 af-
ter each two months and now the due date of treatment follow up had arrived and I want to move to In-
dia 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
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.
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 ab-
sence 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.
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.
Yours Sincerely,
Maida Niaz.
Date: 15th May, 2014
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 for-
get this favor of yours.
I shall be utterly obliged.
Yours Sincerely,
Senior Accountant
Farah Khan.
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.
Yours Truly,
Sara Khan.
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 cer-
tification form to verify the need for leave.
Please let me guide what additional information is required in order to process this request. I shall ap-
preciate your assistance with this important health matter.
Yours Sincerely,
Gorge Greek
Junior Assistant Admin.
Dear Sir,
Please be informed that I am suffering from some kidney problem since last three –four days. So I at-
tended 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.
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azhar
MARCH 10, 2015 AT 9:54 AM
how i can apply for tomorrow’s leave for medical checkup of wife
DocumentsHub
MARCH 28, 2015 AT 4:33 PM
It is stated that my wife is suffering from poor health and I have to take her to hospital tomorrow.
For this I will not be able to come office. I hope that you will considerate upon my issue and grant
me leave for one day. Thanking you.
kumar
SEPTEMBER 19, 2016 AT 10:20 AM
DocumentsHub
SEPTEMBER 23, 2016 AT 12:22 PM
carmella9257
MARCH 25, 2015 AT 2:12 AM
Harish
OCTOBER 9, 2015 AT 10:10 AM
I don’t have child after 3 yrs of marriage as I am working on cruise lines and come down to home
town in 6 months. Now my doctor has advised to take leave and be with my wife how should I apply
for leave.
DocumentsHub
OCTOBER 10, 2015 AT 12:07 PM
Shinoop
OCTOBER 26, 2015 AT 10:45 AM
DocumentsHub
OCTOBER 27, 2015 AT 11:35 AM
eswar
DECEMBER 24, 2015 AT 11:51 AM
i used only 15days out of 30 days summer vacation .now i want to use the remaining holidays.how
to write a letter to principal
DocumentsHub
JANUARY 5, 2016 AT 1:23 PM
dushyanthi
MARCH 11, 2016 AT 12:13 PM
i need a letter format for asking one month leave for my son’s eye operation
DocumentsHub
MARCH 11, 2016 AT 1:43 PM
Sarbdeep singh
APRIL 1, 2016 AT 9:19 AM
thanks
so nice ………………
shadath hossain
JUNE 19, 2016 AT 8:03 PM
i am taken 30 days leave as a yearly vacation and now due to toothache i am surgery my teeth so it’s
still pains a lot now ho do i ask to hr or my department for give me more 15 days to be ok!!
wish to hear from you soon
DocumentsHub
JUNE 23, 2016 AT 1:18 PM
Medha gollar
SEPTEMBER 26, 2017 AT 4:39 PM
I want to apply for unpaid leave application frm sept ending til nov 30th as wel as to mention my
joining date frm dec 1st in same letter. Help me pls
DocumentsHub
SEPTEMBER 28, 2017 AT 9:41 AM
Hy,
Kindly Visit the below given link:-
https://documentshub.com/application/application-to-get-unpaid-leaves-from-office/
M.NANDAKUMAR
JULY 2, 2016 AT 10:35 PM
I want leave application request for my dental total extraction and temporary teeth had fixed now i
need complete teeth implant treatment for that as per doctor given an appointment dated
10/07/2016 to 25/08/2016 i postponed to one month later from 20/082016 to 16/10/2016 56
days
rajiv sahu
JULY 7, 2016 AT 9:38 AM
DocumentsHub
JULY 12, 2016 AT 2:06 PM
irfan ullah
AUGUST 25, 2016 AT 8:40 PM
DocumentsHub
AUGUST 26, 2016 AT 12:25 PM
Faizan
OCTOBER 13, 2016 AT 10:13 PM
How I can apply for medical leave..my operation is after tomorrow.am suffering from pilonidal
sinus…
DocumentsHub
OCTOBER 14, 2016 AT 12:52 PM
rRiks
OCTOBER 29, 2016 AT 10:57 PM
how can i write email to my manager about my 1 month leave.i ma in abroad now,i have a critical
health issue.i want complete treatment in my home country.
DocumentsHub
NOVEMBER 6, 2016 AT 4:53 PM
Getrude Namagembe
NOVEMBER 21, 2016 AT 3:57 PM
DocumentsHub
NOVEMBER 27, 2016 AT 1:04 PM
samantha
DECEMBER 2, 2016 AT 6:43 AM
my mom has been working with a school for over 15 years and has never taken a leave, how does
she go about applying for one for the purpose of getting some much needed rest.
DocumentsHub
DECEMBER 29, 2016 AT 1:51 PM
The Principal,
ABC Institution.
Respected Madam,
With high esteem and regard it is stated that I want to apply for leave of one week on account of
taking rest. It is worth mentioning that I am serving this institution for over 15 years but I have
not taken any leave except the available ones. Owing to my health I have to take some rest from
the normal routine therefore I am writing for the purpose. I want you to please sanction me leave
for the mentioned time. I shall remain obliged.
Sincerely,
Name and Contact.
Albert gimba
DECEMBER 15, 2016 AT 6:41 PM
I want to writer and request for a leave on medical ground for two weeks please how do composed
it.
DocumentsHub
DECEMBER 15, 2016 AT 10:00 PM
The Manager,
ABC Organization
Subject: Leave Application for Medical Treatment
Respected Sir,
With high esteem it is stated that I’m unable to join office for two weeks on account of medical
leave. The unfortunate reason is that I’m severely ill and doctor has prescribed me bed rest until I
recover. I’m attaching the medical certificate with the leave. I request you to kindly sanction me
the leave for medical treatment. I shall be beholden and grateful.
Sincerely,
Name and Cotact
Abdul Hafeez
JANUARY 6, 2017 AT 5:11 PM
DocumentsHub
JANUARY 8, 2017 AT 8:05 PM
IMAM UDDIN
JANUARY 10, 2017 AT 10:52 AM
I am Blood Sugar patient, and can not sit continue long hour in the office, so I need short leave be-
fore an hour for a month or long.
DocumentsHub
JANUARY 12, 2017 AT 1:12 PM
dinila
MARCH 26, 2017 AT 11:21 AM
dear sir,
I wold like to get leave application for the period of 1 year on the ground of fertility treatment. stat-
ing below points 1.Mrried 7 years back 34 year lady 2. Misscarried two times 3. undergone 2 surge-
ries 4. doctor advised for rest and treatment. please consider it as urgent matter.
DocumentsHub
MARCH 26, 2017 AT 11:06 PM
It is stated with due reverence that I want to apply for leave for a period of 1 year on account of
my treatment. I want to inform that I got married 7 years back and till now I’ve had miscarriage
two times and have undergone 2 surgeries. Moreover, doctor has prescribed me to take rest. In
order to get treatment completed I need leave from work. I hope that you’ll consider my situation
and will grant me leave on the basis of above mentioned reasons. I’ll be obliged enough.
Yours Sincerely,
Name and Contact
dinila
APRIL 25, 2017 AT 5:01 PM
thanks a lot for your assistance.
sarath
MAY 28, 2017 AT 11:59 AM
I am working in Dubai, i want to go India for my daughter treatment please give me a sample letter
DocumentsHub
JULY 31, 2017 AT 3:00 PM
https://documentshub.com/leave-application-2/leave-application-for-childs-checkup/
Niaz
JULY 8, 2017 AT 8:02 PM
I want leave application request for my dental total extraction and temporary teeth had fixed now i
need complete teeth implant treatment for that as per doctor given an appointment dated 20-07-
2017 to 26/07/2017.
DocumentsHub
JULY 9, 2017 AT 10:19 PM
https://documentshub.com//request-letter/appointment-request-to-doctor/
https://documentshub.com//leave-application-2/leave-application-medical-treatment/
Niaz
JULY 21, 2017 AT 9:09 AM
I m a govt servent, i have extracted (removed) my four teeth recently. i want to a leave aplication for
5 days for recovery of wound.
thanks
Niaz from KPK
DocumentsHub
JULY 22, 2017 AT 9:01 AM
Dear Sir,
It is to state that I have been going through severe pain in my mouth due to which it is really hard
for me to work with concentration not even that I am restless for many nights. The reason for all
this is the infection in my gums. I have removed four teeth because of this infection but still there
is no effect seen so I want leave for five days for treatment.
Yours Truly,
Mr. Niaz
Mohammad Waqas
AUGUST 5, 2017 AT 1:32 PM
Last 6 Months I’m suffering from stomach problems, 3 months back I resign from my current com-
pany, due to unavailability of replacement my resignation was canceled now I want to go for vaca-
tion for 4 Month for complete treatment in my home country.
DocumentsHub
AUGUST 8, 2017 AT 2:41 PM
Respected Sir,
It is to state with much regret, but I am really with very critical stomach problem. I resigned from
my current seat due to this suffering, but it was declined by my high ups. Still now my stomach
ache is declining day by day. Its treatment requires complete four months’ bed rest. Kindly grant
me the leaves for the cherished period for my dear life. Thank you so very much.
Best Regards,
————
Mohammad Waqas
AUGUST 9, 2017 AT 11:16 AM
Thanks a lot.
Habeebullah
AUGUST 12, 2017 AT 8:58 PM
How can write due to legs problem.emergency leave .I want to three month for vacation..
DocumentsHub
AUGUST 26, 2017 AT 12:20 PM
Sir my daughter has an appointment with her doctor on Thursday, 14th September 2017, for her
Thyroid treatment. She is student of 7th class. Please tell me how to write a leave application to the
principal.
DocumentsHub
SEPTEMBER 11, 2017 AT 6:29 PM
Sincerely,
Name and contact
a zenith Singh
SEPTEMBER 19, 2017 AT 10:56 AM
How to write an leave application I was under going treatment but my operation has finished doctor
advised me 4 week bed rest
DocumentsHub
SEPTEMBER 26, 2017 AT 12:41 PM
Respected Sir,
I am a chronic patient of heart disease and currently I had undergone the risky process of open
heart surgery and thanks to Providence that my operation went successful, but doctor advised
me complete bed rest for quick recovery and healing. Kindly grant me leave of one month in this
connection. Thanking you in anticipation.
Niaz
OCTOBER 20, 2017 AT 11:13 AM
Sir i m suffering from chest infection and allergy dust and smoke etc.
i want to write an application for 3 days medical leave for rest.
i m urdu speaker . i can,t write an english application for leave. so plz help……
thanks
DocumentsHub
OCTOBER 23, 2017 AT 11:41 AM
Respected Sir,
With kind concern, it is to state that I am suffering from a very bad chest infection that caught
hold of mine due to dust and smoke as I am allergic to them, but due to job requirement I have to
move out of my comfort zone to ear the living for my family and for my sustenance as well. The
severity of infection now hampering me in further moving for the job so kindly grants me the
leaves of three days as per medical prescription. Thanking in anticipation of favourable action.
Yours Sincerely,
————–
jomon thomas
OCTOBER 20, 2017 AT 2:06 PM
DocumentsHub
OCTOBER 23, 2017 AT 11:38 AM
Sample Letter Format of Requesting Annual Leaves due to Wife’s
Pregnancy
Respected Madam,
With due respect and honour, it is to state that my wife is expecting a child of 35 weeks and due to
her earlier two miscarriages, doctor advised us to take extreme care of her and move her on the
native land of hers and for that reason I am in need of 40 days leave. I cannot take any kind of risk
this time as we are yearning for this child from the past six years. Kindly cooperate with us in this
hour of need in the name of humanity and grant me the required 40 days annual leaves. Thanking
in consideration.
Yours Truly,
————–
Smaya
NOVEMBER 4, 2017 AT 7:40 PM
I need two week leave for my IVF treatment procedures so please give me a sample leave request
DocumentsHub
NOVEMBER 8, 2017 AT 10:11 AM
Respected Sir,
It is to state with due respect and attire that I am suffering from vitro infection and could not be
deem fit for conception and doctor advised me proper check up of IVF in this connection so that
real and exact problem can be figured out. This whole process will take at one week and I would
like to apply for this period so kindly grant me the said leaves for my future concern. I would be
brimmed withgratification if you do me the favour of granting the leaves.
G.shanmugam
DECEMBER 1, 2017 AT 5:16 AM
How to apply before one year me accident. I have done it operation.left arm problems not solved .
How written letter
DocumentsHub
DECEMBER 2, 2017 AT 12:13 PM
://documentshub.com/leave-application-2/application-leave-extension/
regards
Ravikiran Dahihande
DECEMBER 2, 2017 AT 12:10 PM
://documentshub.com/leave-application-2/application-leave-extension/
regards
MANISH DAS
APRIL 11, 2018 AT 9:14 AM
how to apply for medical leave for 15days out of state for higher doctor consultation
DocumentsHub
APRIL 11, 2018 AT 9:29 AM
Respected Sir,
With due respect, I am here to explain myself. I am suffering from an internal injury in the back-
side and couldn’t locate the exact issue and decided to consult the doctor. He suggested me minor
surgery and a bed rest of 15 days. I am attaching the medical certificate with this application so
that I may get the leaves for 15 days as soon as possible. Thanking in consideration.
kasturi majhi
APRIL 25, 2018 AT 1:04 PM
DocumentsHub
MAY 11, 2018 AT 2:25 PM
Hy
Kindly visit the below given link:-
https://documentshub.com/leave-application-2/request-for-medical-leave-due-to-paralysis-
treatment/
regards,
chanaka
JULY 11, 2018 AT 12:10 PM
how can i write a letter to the registrar of my university to get the leave for 12 days for my wife
medical treatment .this treatment not available on government hospitals.
DocumentsHub
JULY 14, 2018 AT 12:22 PM
Dear Sir,
It is to state with much respect that my wife is in critical situation and needs a surgery on urgent
basis. The operation facility is not found in government hospitals and is only available in private
hospital of Lahore so I request you to grant me 15 days leave from my chair in this regard. Thank
you.
chanaka weerasinghe
JULY 15, 2018 AT 8:11 PM
Waqar Ali
SEPTEMBER 13, 2018 AT 11:04 AM
Hi sir
i m working in ksa , my father is heart patient and i want to go for 1 month vacation for his treat-
ment, for 1 month vacation.
DocumentsHub
OCTOBER 16, 2018 AT 1:39 PM
Hi
Kindly visit the below given link:-
https://documentshub.com/leave-application-2/application-sick-leave/
Best Regards,
Documentshub.com
JOJANGANDHA DATTA
NOVEMBER 15, 2018 AT 11:30 AM
I NEED ONE DAY LEAVE FOR MY SPONDYLITIS PAIN.HOW TO APPLY FOR MEDICAL LEAVE
FOR ONE DAY
DocumentsHub
DECEMBER 6, 2018 AT 9:05 AM
To,
The Principal,
Xavier’s High School,
Hindpur, India.
Respected Sir/Madam,
With utmost respect, it is to bring in your knowledge that I met a critical accident two days ago.
My cousin is admitted in hospital and I also sustained some injuries but I thought that I will be re-
covered by it soon. But to my surprise, I started to have uncontrolled pain back in my spine which
has been diagnosed as ankylosing spondylitis. It has caused a lot of pain in my neck following to
my lower back. Ankylosing spondylitis can cause an overgrowth of the bones, which may lead to
abnormal joining of bones and it is not just limited to pain it has also caused high fever, fatigue and
loss of appetite. This constant pain and stiffness has made me bed ridden.
This is my request to you to please permit me leave for a week so I can get a proper treatment and
physical therapy. I shall be highly grateful.
Yours Sincerely.
Mr. Ishaan Ambala,
25th December, 2018
fareya
JULY 22, 2019 AT 8:04 AM
DocumentsHub
JULY 24, 2019 AT 9:10 AM
https://documentshub.com/leave-application-2/leave-application-due-to-medical-examination-
and-care/
Mith
NOVEMBER 25, 2019 AT 6:59 PM
Greetings to you …
Here I am to convey my critical medical condition which has been diagnosed over many medical test
reports, for which I had been undergoing since months. And has been declared as …………………
This is not normally been occurring in women, but improper care shall lead to an intense health
problem which I am not even dare to think of it. Doctors had insisted me to undergo a treatment
which will collide with my work life. Based on the prediction of being avoiding this treatment, which
shall pull me in to multiple complications, Doctor has suggested to pause my job for a while and shall
resume it post the treatment.
I merely understand the impact on my absence, but I urge to consider my unseen medical complica-
tions with naked eye.
However, I shall justify the handover responsibility with ease and assure the operations shall not af-
fect till my presence is back online.
Consider this as my kind request to avail planned medical leave for 20 days, and I should be back to
work with much more of rejuvenation, apparently your gratitude towards my request shall put forth
to set my health.
I shall be very grateful to have your acceptance and awaiting for your word of confirmation.
Note : I shall provide all my medical documents as a proof for validation.
Sincere Thanks,
Reena