I. Temporary Illness
A. Template
To Whom It May Concern:
[Name of patient] who resides at [address] is a patient of mine [or: is under my care]. [Name of patient] is being treated for [describe illness or condition], a serious illness.
Sincerely,
[Doctor’s name and contact information]
B. Sample
To Whom It May Concern:
Graciela Ramos, who resides at 13 Wenwood Drive in Fairhaven, is currently under my care. I am treating her for bronchitis, a serious illness.
Sincerely,
Sharon Widmark, MD
273 Grandview Blvd.
Fairhaven, MA
(508) 652-0983
II. Chronic Illness
A. Template
To Whom It May Concern:
[Name of patient] who resides at [address] is a patient of mine [or: is under my care]. [Name of patient] is being treated for [describe illness or condition], a chronic illness.
Sincerely,
[Doctor’s name and contact information]
B. Sample
To Whom It May Concern:
Graciela Ramos, who resides at 13 Wenwood Drive in Fairhaven, is currently under my care. I am treating her for bronchitis, a chronic illness.
Sincerely,
Sharon Widmark, MD
273 Grandview Blvd.
Fairhaven, MA
508 652-0983