Letter to Hospital for Treatment


Letter to Hospital appointment for treatment. Medical referral letter to a specialist for operation, or surgery.

Letter for OT (Operation Theater) Booking Purpose

The Head of Operations,
XYZ Hospital.

Respected sir,
My son visited you last week, and was diagnosed of brain cancer, third stage. You advised us to consider an operation right away. However, upon further asking around I came to know that I will have to pre book a bed in the operation theater before it takes place. Sir, as you know that my son is in the last stage of cancer, and needs to be operated upon desperately. We can’t find any other nearby hospital thus I request you to kindly permit us, and grant us a bed in the operation theater.

The operation is scheduled to take place on the 15th of this running month, and I would be really thankful if you yourself would conduct my sons operation. I hope that you will understand my situation, and consider approving my request.

Thanking you,

Letter to Hospital for Treatment


Respected hospital administration head!

From the past few weeks I am feeling blinding pain in my stomach, and after that there is a phase of dizziness where I feel I might almost lost my consciousness. At first I thought not much of it but now the intensity of pain is increasing every time it happens, and it is affecting my everyday life routine.

I have sent my insurance to be renewed but it can take up to a week, and I do not know if I can hold that in any longer so if you will please grant me a visit to the hospital, and then you can bill me after the insurance comes I will be very grateful for you.



Sample Leave Application for Mother Operation


Sample of leave application to go to the hospital for your mother’s operation and surgery in the hospital. Sample emergency leave application for mother operation or surgery of any type in the email. You can use this application for eye operation, heart, kidney, brain, leg, arm-related surgeries, etc.

Leave Application for Mother Surgery

The Managing Director,
The Telecom Company

Subject: Leave for 3 days for mother’s operation

Dear Sir,

I request you that my mother has a cardiac problem, and is to be operated day after tomorrow. Therefore, I request you to kindly grant me leave for three days, (Date) To (Date), so that I can be with my mother, support her, and care for her. I have provided my number, if I am needed, please do not hesitate to call me. I am very hopeful that you’ll grant me leave for this genuine reason.

Looking forward to your kind response. Thanking you in anticipation.

Most sincerely,

Umar Shahzad

Leave Application for Checkup after Operation

The Principal
The Home Economics College
London, UK


Dear Sir,

It is humbly requested as you also know about my chin operation last week due to a road accident. This Thursday, I have an appointment with the concerned surgeon for a follow-up checkup at the hospital. So kindly grant me leave for this day.

I shall be very grateful to you.
Yours Sincerely,

Shaista Refeeq


Leave Applications for Mother’s Operation of Eyes

The Manager,
Human Resource department
Pepsi Cola International

Dear Sir,

My mother has been suffering from weak eyesight for the last six months. On her previous medical checkup, the doctor has recommended surgery for the recovery of her eyesight. As per the doctor’s advice, the sooner the surgery will be carried out, the better the patient.

Moreover, I have completed my project, which was assigned to me during the previous week. I submitted its final report to the human resource department just an hour ago. Therefore, I shall be grateful to you if you could grant me leave for the next three days so that I could take my mother to the hospital for surgery on her eyesight.

Thank you for your time.

Yours truly,

Mr. Maxwell Mark

Leave Application for Surgery Operation


Sample leave application letter for surgery, operation, plastic surgery, heart, brain, nose breast of yourself, your father, mother, uncle, son, daughter, brother, or sister, etc., in the hospital.

Leave Application for Surgery to Boss

Dear Sir,

I want to apply for (mention number of days) day’s leave for my nose surgery (appendix surgery) (hernia operation) (heart surgery). The doctor recommended immediate surgery because any delay can cause problems. So I request you to please approve my (mention number of days or weeks) leave or till I recover from the job. I will be thankful to you.

Sincerely Yours,

Your Name

Medical Leave Due to Surgery for One Week

The Managing Director,
Telecom Company.

Dear Sir,

This is to inform you that I have surgery early morning tomorrow as per the doctor’s advice. I have been having severe pain in my abdomen since last week. I had sleep issues and felt nauseated most of the time. The laboratory tests showed that I have appendicitis. Doctors have said that the only treatment for this is the surgical removal of the appendix, and so the appointment has been set for tomorrow morning. Therefore, I request you kindly sanction me leave for one week, i.e., from (Date) To (Date), to recover my health speedily.


Umar Shahzad.

Leave Application Due to Surgery for Employee

Dear Sir,

I am Maleeha Khan writing to inform you that I will remain on leave for five days due to surgery on my nose. I have issues with my nose, and now it has become difficult for me to breathing with my nose, and it is also turning my nose toward the right side. A bone inside the nose is growing out of order and causing a severe blockage for breathing. Tomorrow I have an appointment with the doctor, and if the doctor operates and started my surgery, I will stay in hospital.

I request you to please approve my medical leave for five days, and I will inform you at my earliest in case of any delay in surgery or extension in leaves.

Sincerely yours,

Maleeha Khan

Leave Letter Due to Surgery

The Director HR,
Qarsaii foods Pvt. Ltd

Dear Sir,
It is stated that (Name) has been working in this organization for the last 10 years. During this time, I have tried my level best to contribute from my side to develop the company.
I have been facing hearing disease for the last 2 years. Despite several treatments and checkups, I am unable to control this disease. As my eardrum is damaged, and I feel a problem in hearing someone. Therefore the doctor has advised me to have surgery on my ear to make hearing sense better.
I request you to please grant me leave for 10 days to complete my treatment and make me a better listener. I will be thankful to you for your favor on this matter.

Qaiser Tariq

Leave Application Due to Surgery

Manager HR,
Company Name,
Location Address,

Dear Sir / Madam.

It is a matter of fact that I was suffering from appendicitis for the last four months. Signs and symptoms were not good; things were getting worst day by day. Finally, yesterday I went home from the office and started feeling pain below my ribs. I drove to the hospital, and the doctor believed that now it could only be curable by surgery. I was operated on right after an hour.

It looks normal now, but the after-effects of surgery would remain there for about a week. Therefore, I am advised to take bed rest and not to walk. Keeping all my conditions seriously, please allow me to leave for a week. I’ll do all my duties next week. I really appreciate any help you can provide.

Yours faithfully,

Richard Steve

Leave Application for Checkup after Operation


Sample Leave Application for medical checkup after the operation or surgery of any part of your body or any other person. Leave application format for hospital checkups or medical check-up by the student or teacher in school, college, office, or factory.

Leave Application for Doctor Checkup

The Head Master,

School of Arts, England

Dear Sir,

It is stated that I am working in your school as an admin manager. I have had knee surgery a few weeks back.  I had this surgery due to an accident while crossing the road. As prescribed by the surgeon, I have to get my knee checked regularly for its proper recovery and perfect fixation with the other bones. I have a coming appointment with the doctor this Thursday (Date) for the routine check-up after the operation held regarding the knee injury.

For that purpose, I will need an urgent leave for one day to make sure my knee is properly checked and recovering. So, Therefore, Kindt grants me to leave for one day. I will be very thankful to you for your cooperation with me.

Looking forward to thanking you for the approval of my humble application.

Yours Affectionately,

Steve Alex

Leave Application for Checkup after Your Operation

The Manager,

Human Resource department.

Dear Sir,

As you are aware that I had gone through surgery of tuberculosis in my head in the previous month. The doctor had advised me to have my medical checkup after a month to ensure the normal biological working of my body and mind after the surgery. Although I am feeling fine now, yet I want to abide by the doctor’s advice for my satisfaction and to avoid any inconvenience in the future due to my surgery.

Therefore, I need a leave for one day to go to the hospital. I shall be thankful to you for the early approval of my request for leave.

Thank you for your time and consideration.

Yours truly,

Mr. Bertrand