Three Sample Leave Application For Hospital

A Leave Application  For a Hospital is a formal letter requesting permission to take time off from work in order to receive medical care. The letter should include the intended dates of leave, the reason for the request, the expected duration of the leave, and any other pertinent information. Points to keep in mind while writing the letter include:

  • Include a well-written, polite, and professional request.
  • Explain the need for the leave and the expected duration.
  • Provide contact information in case of any additional questions.
  • Include any relevant documents or details to support the request.
  • Thank the recipient for their time and consideration.

Sample #1

[Recipient Name]
[Name of Company]

Subject: Leave Application for Hospital

Dear [Recipient Name],

I am writing to inform you that I will need to take a few days off from work due to an upcoming hospital visit. I am scheduled to be admitted to [Hospital Name] on [Date] for a [Medical Procedure] and I expect to be discharged on or around [Date].

I understand that this may cause an inconvenience to the team, and I apologize for the short notice. I have made arrangements for my work to be completed in the next few days. I will also be available for any questions or assistance over the phone.

I look forward to returning to work and continuing to contribute to the team.

[Your Name]

Sample #2


[Name of Authority]

[Company Name]



Subject: Leave Application for Hospital Admitted

Dear [Name of Authority],

I am writing to request a leave of absence as I have been admitted to the hospital.

I am currently admitted at [Name of Hospital] due to [State the reason why you are in the hospital]. I am under the care of [Name of Doctor], who has advised me to take rest for a few days.

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I am expected to be discharged [State the expected date of discharge] and will be able to resume work from [State the expected date of joining].

I understand that I will need to submit a medical certificate from the hospital upon my return. I request you to kindly grant me leave from [State the date from which you want to take leave] to [State the date until which you want to take leave].

I apologize for any inconvenience this may cause and thank you for your understanding.


[Your Name]

Sample #3

Dear [Name],

I am writing to you today to express my deepest gratitude for your service as an employee of [Hospital Name]. Your dedication and hard work have meant so much to our organization.

Your commitment to patient care and safety has been an example to everyone on the staff. You have consistently gone above and beyond to ensure that our patients receive the highest level of care. You have made numerous contributions to the success of our hospital and have helped us to create a better patient experience.

Your dedication and professionalism have been a huge asset to us. We appreciate your contributions and are grateful for the difference you have made. Your efforts are a reminder of the importance of providing high quality care to our patients.

Thank you for your hard work and dedication to our organization.


[Your Name]

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