Free Medical Statement Letter Template
MEDICAL STATEMENT LETTER
[Your Company Name]
[Your Company Address]
April 4, 2051
Ms. Etha Lehner
HR Manager
PayCalibur
Kansas City, MO 64101
Dear Ms. Lehner,
I am writing to provide a medical statement for Mr. Gino Rohan, who has been under my care since June 15, 2050.
Mr. Rohan has been diagnosed with Type 2 Diabetes Mellitus. Due to this condition, he must adhere to a specific management plan, including regular blood glucose monitoring, a tailored diet, and daily insulin injections. Mr. Rohan requires flexible working hours to attend routine medical appointments and manage his condition effectively.
Additionally, Mr. Rohan may need occasional time off for medical procedures or adjustments in his treatment plan. He must have access to a quiet space at work to monitor his blood glucose levels if needed.
Please feel free to contact me at [Your Company Email] or [Your Company Number] should you need further information or verification. Thank you for your understanding and cooperation.
Sincerely,
[Your Name]
Endocrinologist
