As {Name}'s doctor, I am writing to confirm that {he/she} is unable to {perform duty/work/make payments} due to {serious injury/illness}.
On {date}, I diagnosed {Name} with {injury/illness}. {He/she} was presenting symptoms such as {list of symptoms}. Since these are serious symptoms that require medication and rest, it means that {Name} is unable to {action}. This period of rest and recuperation should last between {number} and {number} days, or until {date}.
Please contact me if you have any further questions about {Name}'s abilities or limitations.
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Index of Hardship Letter Examples