Free Medical Letter for Visa Application Template

Medical Letter for Visa Application

Louise I. Ginn

2873 Mount Tabor

New York, NY 10011

Dear Louise I. Ginn,

I am writing to provide you with the necessary medical information for your visa application. The patient in question is Mr. John Doe, a 40-year-old male with the following details:

  • Date of Birth: January 1, 2050

  • Nationality: United States

  • Passport Number: U-126933555-C

  • Medical Condition: Type 1 Diabetes

  • Treatment: Insulin injections, regular check-ups

I am available for discussion if you require further information or clarification. Don't hesitate to get in touch with me using the provided details.

Thank you for your attention to this matter.

Yours sincerely,

Amelia J. Miller, MD

Paxton Medical Center