Medical Leave Applications

Short term medical leave

It is to inform you that I am suffering from viral flu and fever. My doctor has suggested me to take complete rest for 2 days. I have also been prescribed antibiotics so that I can have a speedy recovery. I, therefore, request you to grant me leave for a couple of days so that I feel better before I get back to work.

I will return to work on Thursday, 22nd March. I assure you that this leave will not affect my progress on the current project.

I have attached a copy of the doctor’s prescription with this letter. Your kind consideration will be appreciated.

Long term medical leave

I am writing to humbly request you for a long-term leave from work. I have been diagnosed with (name of the disease) which requires (description of the specific treatment). The entire treatment procedure will take a month followed by a recovery period of 3 to 4 weeks. Therefore, I need a leave of 2 months from office. I shall be indebted to you for granting my request.

I understand that my official annual leave does not extend beyond 3 weeks. However, my medical condition has put me in a predicament, and I have no other choice but to take a break from work for the mentioned period of time. Kindly make an exception for me due to my special circumstances. I request you to approve my leave with effect from 1st May.

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I have asked Mr. XYZ to take over my current project. He has gladly agreed to lead my team during my absence. In addition, the Assistant Manager, Mr. ABC will be dealing with all other affairs under my responsibility while I am away from the office. I will be in constant correspondence with him through phone calls and email.

I shall return to work on (date). In case my recovery goes well, I might be able to resume office sooner.  On the other hand, I may need a few more days off if the healing process takes longer than expected. In either case, I shall inform the office in advance.

I have attached a copy of my medical reports, prescription and the doctor’s note for the official verification process.

I shall be grateful to the management for its support and consideration for my situation.

Long term medical leave application

Short term disability leave

I would like to make a request for short term disability leave. I have sustained a hairline fracture in my knee during a minor accident that happened two days ago at home. As per the doctor’s strict instructions, I must take complete bed rest for two weeks. Kindly refer to the attached medical reports for verification.

I shall be grateful to you for approving my leave beginning from 16th May.

Pregnancy Leave

I am writing to apply for the company’s allocated maternity leave. My tentative due date is (date). I would, therefore, like to start my leave from (date). My work duties will be performed by my assistant, Mr. XYZ during my absence. I will be in touch with him and the rest of the department through email.

I request you to approve my maternity leave for a period of 3 months as per the company’s policy. Thank you for your cooperation.

Medical Leave Application for College

a. Request for short term absence from college

I am John Doe, a 3rd-semester student of Biochemistry in your college. I have been feeling under the weather since the past couple of days due to seasonal allergies. My doctor has prescribed antihistamines along with bed rest for 3 days. I respectfully request you to grant me leave from (date) to (date). I shall be grateful.

b. Request for long term absence from college

I am writing to apply for long term leave from college due to my poor medical condition. I have recently been diagnosed with jaundice. According to my bilirubin blood test results, the doctor has speculated that it will take around a month for the disease to subside. I have been advised by the doctor to follow a course of the prescribed medication along with a special diet, enhanced fluid intake and lots of rest. Any physical exertion may cause the ailment to become prolonged. Therefore, I have been strictly advised to take complete bed rest.

I have enclosed my medical reports with this letter. Please be considerate towards my situation. I would really appreciate if you grant me leave from (date) to (date).

I shall make up for the missed lectures by studying extra hard. Kindly allow me to appear for the missed weekly assessment exams once I return to college after my recovery. I shall really appreciate your cooperation.

c. Medical Leave Application to skip examination

I am (name). I am a student of (semester and course). The purpose of writing this letter to you is to humbly request you for letting me skip the upcoming 2nd Term Examinations owing to my poor medical condition. I have recently been diagnosed with (name of the disease) which requires immediate treatment. I am going to be admitted to the hospital tomorrow where my two-weeks long treatment will begin. As a result, I will be unable to appear for my exams.

Kindly have a look at the enclosed medical reports and medical certificate. I shall be grateful to you for making an exception for me. I will take these exams once I have recovered fully.

Your cooperation will be much appreciated.

d. Medical Leave Application to skip classes

I am writing to make a special request to you for allowing me to skip my classes for a period of one month. I had an accident two days back that resulted in several injuries. I am unable to get up from the bed due to a minor fracture in my back. The doctor has strictly advised me to take complete bed rest. The expected recovery will take a month. I shall be grateful to you for allowing me to skip my regular classes during this period.

e. Leave application for medical check up

I beg to state that I need to take a day off from college for my medical checkup. I am suffering from a skin related issue which is causing me a great deal of discomfort. Therefore, I must consult a dermatologist in order to seek a remedy as soon as possible. My appointment is scheduled for tomorrow at 9 am. Kindly grant me leave for a day.

Thanking you in anticipation.

Medical Leave Application for Employee

a. Leave for bad health

I would like to request for 2 days leave from office on account of bad health. I am suffering from diarrhea. The resulting dehydration has caused me to feel quite weak. I am unable to carry out my regular office duties. Therefore, I request you to allow me to rest at home for a couple of days. I shall return to work on Thursday.

b. Leave due to accident

Please be informed that I had been in an accident yesterday as an over speeding car hit me while driving back from office to home. I was taken to the ER immediately. Thankfully, there haven’t been any serious injuries. However, my neck muscles have been badly sprained due to the physical shock of the collision. The doctor has advised me to wear a collar for a week and take complete rest. I have been forbidden to travel during this period as even a minor jerk may worsen my condition. I, therefore, request you to approve my leave application.

Please find enclosed my medical reports. Your cooperation will be much appreciated.

c. Leave due to wife’s bad health

It is to inform you that I require leave from office due to my wife’s bad health. She is suffering from (name of disease) and needs constant care. Please find enclosed her medical reports.

We are the only adults in the house living with 2 kids. Therefore, it is my responsibility to look after her and take care of our kids as well till she recovers. I request you to grant me leave from (date) to (date). I will be in touch with my supervisor during all this time for any urgent task.

I hope you understand my situation. I await your approval.

d. Leave application for child’s bad health

I am writing to request you to grant me leave on account of my child’s surgery which has been scheduled for 10th June. We must fly to (name of the place) on 8th June as the surgery will take place at XYZ Hospital where they have the best childcare facilities. They will keep my child there for one week for post-surgery treatment. Therefore, kindly grant me leave from (date) to (date).

I shall be grateful to you for approving my leave application. 

e. Leave for child’s bad health

I request you to grant me leave for a day as my 3 months old son is not feeling well. He has been coughing all night and is also suffering from fever. I need to take him to the doctor today. I shall really appreciate you for letting me take one day off from office.

f. Leave application to boss for personal surgery

It is to inform you that I will be undergoing surgery next week for the removal of a cyst on my arm. You are already aware of my situation as I discussed my medical reports with you during our meeting yesterday. I request you for your approval to grant me medical leave starting from (date) to (date).

I appreciate your support and cooperation during this time.

Medical Leave Application for Operation

a. Leave for personal operation

I am writing to apply for sick leave on account of my appendix operation. I have been experiencing severe pain in my lower abdomen since the last 2 days. Upon check up yesterday, the physician diagnosed appendicitis and recommended an urgent operation. My surgery will accordingly be performed this afternoon. The recovery period will take from 1 to 2 weeks. I, therefore, request you to grant me leave for 2 weeks starting from (date) to (date). I have submitted my reports and medical certificate to the admin for verification.

Although I will be unable to perform any regular activities during the first couple of days after the operation, I will be in contact with my work team through email and video conferencing from (date) onwards. I will try my best to contribute as much as possible towards various office tasks from home.

I would like to thank you in advance for the approval of my medical leave.

b. Personal operation

This letter is to inform the management that I have been scheduled for an operation for (description of medical condition) next week. Therefore, I request you to grant me leave for one week from (date) to (date).

I have already informed my supervisor, Mr XYZ about it. We have come up with a way to cope with the office work during my absence. I am grateful to Mr XYZ for his cooperation.

I shall be obliged to the company for approving my leave.

C. Leave application for typhoid

I beg to state that I need sick leave owing to my poor health condition. I have been experiencing abdominal pain along with fever since a few days. My lab tests have revealed that I am suffering from typhoid. Therefore, I request you to give me one week off from work in order to let me rest and recover. I shall re-join office on 17th June.

Please find attached the reference letter from my doctor and my medical test reports.

D. Leave application for back pain

It is requested to allow me to take one day off from work owing to back pain. I have been experiencing stiffness in my lower back since yesterday. I am unable to sit for too low because of the pain. Kindly approve my leave for today. I shall return to work tomorrow.

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