Letter to employee`s doctor requesting a medical report

Dear

 

MEDICAL REPORT

 

Your patient, [name], is employed by [Company]. I am writing to ask you to prepare a medical report on this employee for the Company and attach to this letter their written consent for you to do so.

 

The purpose of this report is to enable the Company to ascertain [when [name] may be fit to return to work and whether any reasonable adjustments need to be made to his/her working conditions to facilitate a return to work] OR [whether there is any underlying medical condition causing [name]`s frequent periods of absence, and if so, whether any reasonable adjustments need to made to his/her working conditions to prevent future absences].