Free Blank Work from Home Medical Necessity Letter Template
Blank Work from Home Medical Necessity Letter
Date:
Recipient Name:
Recipient Position:
Company Name:
Dear ,
I hope this letter finds you in good health and high spirits. I am writing to formally request accommodations for my work arrangement due to medical necessity, specifically, the ability to work from home. As per my healthcare provider's recommendation, this adjustment is crucial for my well-being and continued productivity.
Following a thorough medical evaluation, my doctor has determined that my current health condition necessitates a work environment that minimizes physical strain and exposure to potential health risks, which can be better managed in a home setting. This arrangement will not only support my medical needs but also ensure that I can effectively contribute to our team's goals without interruption.
I am confident that, with the proper setup, I can meet all job responsibilities and deadlines from home. I am prepared to discuss any necessary adjustments to my work schedule or duties to make this transition as seamless as possible. I am also open to regular check-ins and any required measures to ensure that my performance remains at its highest standard.
Attached to this letter is a note from my healthcare provider, detailing the medical reasons for this request and the recommended duration of this arrangement.
I appreciate your understanding and consideration in this matter. I am hopeful for a positive response and am ready to discuss this further at your earliest convenience.
Thank you for your attention to this important request.
Sincerely,
[Your Name]
Position:
