When writing a letter of permission for medical treatment, clarity and politeness are essential. Clearly state the patient's name, patient ID, treatment required, and authorization for the doctor to proceed with medical decisions. Express agreement with hospital rules and conditions for treatment.
Sample Letter of Permission for Medical Treatment
To,
Dr. __________(Name of the Doctor)
__________(Name of the Hospital)
__________(Address)
Date: __/__/____(Date)
Subject: Declaration for treatment
Respected Sir/Madam,
With due respect, I __________(Name of the Patient) having Patient ID __________(Patient ID) got admitted to your __________(Hospital/ Clinic) on ________(Date). After getting all tests done, the results stated that I need to have a __________ (Surgery/ Operation) of __________(Name of the treatment).
Therefore, I am writing this letter to state that I authorize __________(Name of the Doctor) for the medical treatment decisions on the provided date __________(Mention Date).
I have read all terms and conditions and I hereby declare that as per rules stated by the __________(Hospital/ Clinic), I agree with the rules mentioned in __________ (annexure/form/application).
Yours Sincerely/ Faithfully,
__________(Signature)
__________(Name of the Patient)
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Sandeep Bhandari