Free Formal Medical Letter Outline Template
Formal Medical Letter Outline
[Your Name]
[Your Title]
[Your Company Name]
[Your Company Address]
[Your Company Email]
[Your Company Number]
[Date]
[Recipient’s Name]
[Recipient’s Title]
[Recipient’s Company/Organization Name]
[Recipient’s Address]
[City, State, ZIP Code]
Dear [Recipient’s Name],
Re: Return-to-Work Confirmation for [Employee’s Full Name]
I am writing to confirm that [Employee’s Full Name] is fit to return to work following a period of illness/injury. [Employee’s Full Name] has been under my care since [Date of Initial Diagnosis/Treatment], and after a thorough evaluation, I am pleased to report that they have made a full recovery.
Patient Information:
-
Name: [Employee’s Full Name]
-
Date of Birth: [Employee’s Date of Birth]
-
Medical Record Number: [Employee’s Medical Record Number] (if applicable)
Medical Information:
[Employee’s Full Name] has been diagnosed with [Brief Description of Illness/Injury] and has undergone treatment from [Date of Treatment Start] to [Date of Treatment End]. Based on recent evaluations conducted on [Date of Last Evaluation], [Employee’s Full Name] has met the necessary criteria to resume their work duties.
Impact Statement:
[Employee’s Full Name] is now able to perform their job functions effectively without any restrictions. They have demonstrated adequate recovery and are expected to continue their work without any adverse effects related to their previous medical condition.
Next Steps:
Please arrange for [Employee’s Full Name] to return to their regular work schedule starting [Proposed Return Date]. Should any further information or documentation be required, feel free to contact me directly.
Thank you for your attention to this matter. If you have any questions or need additional information, please do not hesitate to reach out.
Sincerely,
[Your Name]
[Your Title]
[Your Company Name]
Attachments:
[List any attachments if applicable, e.g., medical reports or test results]
Enclosures:
[Specify any additional documents enclosed with the letter, if applicable]
