Free Medical Incapacity Letter Template
Medical Incapacity Letter
September 17, 2050
Lyda Fadel
Human Resources Manager
BlueLeaf
Miami FL 33103
Subject: Medical Incapacity Letter for John Smith
Dear Ms. Fadel,
I am writing to inform you that John Smith is under my care and has been diagnosed with acute lower back pain. Due to this condition, he is currently unable to perform his regular duties as required by his position.
The expected duration of this incapacity is from September 10, 2050, to October 10, 2050, subject to review. During this period, Mr. Smith may require accommodations such as flexible work hours and the possibility of working from home to manage his condition effectively.
Please do not hesitate to contact me if you need further information or additional documentation through lyda@you.mail or 222 555 7777.
Sincerely,
[Your Name]
Board-Certified Orthopedic Specialist
