Free Emergency Medical Letter Template
Emergency Medical Letter
[Your Name]
[Your Address]
[Your Email]
[Your Phone Number]
December 17, 2050
To Whom It May Concern,
I, [Your Name], am writing to inform you of a medical emergency that requires immediate attention and treatment. I am currently experiencing severe chest pain and need urgent medical assistance.
I authorize Anytown Emergency Medical Services to provide the necessary emergency medical care, including treatment, medication, or any procedures deemed necessary to address my condition. I understand that these medical professionals may need to make decisions regarding my care if I am unable to communicate or provide consent due to my condition.
Please be advised that I have the following medical conditions and allergies, which may be relevant to my emergency care:
-
Hypertension
-
Asthma
-
Allergic to penicillin
Additionally, my primary physician is Dr. Jane Smith, who can be contacted at (555) 987-6543 if needed for additional medical history or treatment information.
I request that you take the necessary steps to stabilize my condition and provide care until I can be transferred to a hospital or other medical facility if required.
Please do not hesitate to contact me if you need further information.
Thank you for your prompt attention to this matter.
Sincerely,
[Your Name]
