Requesting medical leave can be stressful, especially when you’re already dealing with health concerns. The way you communicate your needs to your employer makes a significant difference in how your request is received and processed. A well-crafted email helps ensure your request is understood, respected, and approved without unnecessary delays.
Many people struggle with finding the right words to explain their situation while maintaining appropriate professional boundaries. The perfect medical leave request strikes a balance between providing necessary details and respecting your privacy regarding personal health matters.
Ready to write an effective medical leave request that gets results? Let’s explore 15 expertly crafted email templates that you can customize for your specific situation.
Medical Leave Request Email Samples
These email samples cover various medical leave scenarios. Each template can be customized to fit your specific circumstances and company policies.
1. Short-Term Illness Leave Request
Subject: Medical Leave Request – [Your Name] – [Dates of Absence]
Dear Mr. Johnson,
I am writing to request medical leave due to an illness that requires immediate attention. Following my doctor’s recommendation, I need to take three days off from work, from September 15 to September 17, 2025.
During my absence, my colleague Sarah Williams has agreed to handle my current projects. I have already briefed her on all pending tasks and deadlines. I will also be checking my emails periodically if any urgent matters arise that require my input.
Please find attached a medical certificate from my doctor supporting this request. I anticipate returning to work on September 18, 2025, unless complications arise, in which case I will notify you immediately.
Thank you for your understanding and support during this time.
Sincerely,
[Your name and designation]
Phone: (555) 123-4567
Email: yourname@email.com
2. Surgery Recovery Leave Request
Subject: Medical Leave Request for Scheduled Surgery
Dear Ms. Rodriguez,
This email serves as my formal request for medical leave due to an upcoming scheduled surgery. My physician has advised that I will need two weeks for the procedure and recovery period.
I am scheduled for surgery on October 5, 2025, and based on my doctor’s recommendation, I plan to return to work on October 19, 2025. I have attached the medical documentation confirming the necessity of this procedure and the recommended recovery time.
To ensure minimal disruption to our department, I have prepared detailed handover notes for my team members and scheduled all pending deliverables to be completed before my departure. Alex Thompson will serve as the point of contact for my projects during my absence.
I appreciate your consideration of this request. Please let me know if you require any additional information or documentation.
Warm regards,
[Insert sender’s name and role]
Department: Marketing
Extension: 2345
3. Family Medical Emergency Leave Request
Subject: Urgent Medical Leave Request – Family Emergency
Dear Mr. Chen,
I am writing to inform you that I need to take emergency medical leave effective immediately. My father has been hospitalized with a serious condition, and I need to be with him during this critical time.
Based on the current situation, I anticipate needing approximately one week off, from July 10 to July 17, 2025. However, I will keep you updated on any changes to this timeframe as I receive more information from his medical team.
I have already spoken with James and Miranda about covering my responsibilities while I am away. They have the necessary access and information to handle any urgent matters that may arise during my absence.
Thank you for your understanding during this difficult time. I can be reached on my cell phone at (555) 789-1234 if needed.
Respectfully,
[Your name and position]
Department: Customer Support
Employee ID: CS-5678
4. Chronic Condition Flare-Up Leave Request
Subject: Medical Leave Request – Chronic Condition Management
Dear Dr. Patel,
I am experiencing a significant flare-up of my chronic medical condition and need to request medical leave to properly manage it. My healthcare provider has recommended taking five days off to focus on treatment and recovery.
I would like to request leave from November 3 to November 7, 2025. I have attached documentation from my physician explaining the necessity of this leave without disclosing confidential medical details.
I have already prepared all my pending work for handover to my team. The quarterly report due on November 5th has been completed early, and I’ve shared it with the team for final review. Ryan has agreed to present at the client meeting scheduled for November 4th in my place.
I value my role in our organization and assure you that I am taking all necessary steps to manage my condition effectively so that I can return to work fully recovered.
Thank you for your support and understanding.
Best regards,
[Sender’s name and designation]
Phone: (555) 234-5678
Office Location: Building B, Room 405
5. Extended Medical Leave for Major Treatment
Subject: Request for Extended Medical Leave – Major Treatment Plan
Dear Mrs. Thompson,
I am writing to formally request an extended medical leave as I need to undergo a major treatment plan for a recently diagnosed health condition. Following extensive consultation with my healthcare team, I require a leave of absence for approximately eight weeks.
The treatment is scheduled to begin on August 15, 2025, and my anticipated return date would be October 10, 2025. However, this timeline may need adjustment depending on my recovery progress, which I will communicate promptly if necessary.
I have attached the medical documentation supporting this request. In accordance with company policy, I am submitting this request three weeks in advance of my leave start date to allow for adequate planning.
I have created comprehensive documentation of all my current projects, their statuses, and detailed instructions for continuation. I have also prepared a transition plan outlining how my responsibilities can be distributed among the team during my absence. I would be happy to discuss this plan with you at your convenience before my departure.
I am committed to making this transition as smooth as possible for the team and the company. Please let me know what additional information you may need from me to process this request.
Sincerely,
[Your name and job title]
Department: Finance
Direct Line: (555) 345-6789
6. Partial Day Medical Leave for Ongoing Treatment
Subject: Request for Recurring Partial Day Medical Leave
Dear Mr. Garcia,
I am writing to request approval for recurring partial day medical leave to accommodate necessary ongoing medical treatments. My doctor has prescribed a treatment regimen that requires me to attend weekly medical appointments for the next two months.
I am requesting permission to leave the office early on Thursdays at 3:00 PM, beginning May 20 through July 15, 2025. I have scheduled all appointments for late afternoon to minimize disruption to my work schedule. I plan to complete my full workload by starting earlier on those days and working through lunch if necessary.
The attached letter from my healthcare provider confirms the medical necessity of these appointments without disclosing private health information. I understand that this time may be counted against my medical leave allowance as per company policy.
I remain committed to fulfilling all my professional responsibilities and will ensure that no deadlines or team objectives are affected by this arrangement. I’m happy to discuss any concerns you might have about this request.
Thank you for your consideration and support.
Kind regards,
[Your name and department]
Employee ID: 23456
Internal Extension: x4567
7. Mental Health Leave Request
Subject: Confidential – Medical Leave Request for Mental Health
Dear Ms. Williams,
I am writing to request a medical leave of absence to address mental health concerns that have been affecting my wellbeing. My healthcare provider has recommended that I take two weeks away from work to focus on treatment and recovery.
I would like to begin this leave on February 1 and return to work on February 15, 2025. I have attached a letter from my healthcare provider supporting this request while maintaining my medical privacy.
During my absence, I have arranged for Tyler to handle my immediate responsibilities. I have shared detailed notes with him regarding ongoing projects and pending tasks. I will not be checking emails regularly during this time, as my doctor has advised a complete break to facilitate recovery.
I appreciate your discretion regarding the nature of my leave when communicating with the team. I suggest simply stating that I am taking medical leave, without specifying details.
Thank you for fostering a workplace that recognizes the importance of both physical and mental health. I look forward to returning refreshed and ready to contribute fully to our team goals.
With appreciation,
[Sender’s name and role]
Personal Cell: (555) 456-7890
Employee ID: MK-7890
8. Pregnancy Complications Medical Leave
Subject: Medical Leave Request – Pregnancy-Related Complications
Dear Mr. Davidson,
I am writing to request medical leave due to pregnancy-related complications. My obstetrician has advised that I need bed rest for the next three weeks to address these concerns and ensure the health of both myself and my baby.
I am requesting leave from March 10 to March 31, 2025. I have attached documentation from my healthcare provider confirming this medical necessity.
I have already prepared a comprehensive handover document for my team, detailing the status of all my projects and providing instructions for work that needs to continue in my absence. Jessica has agreed to serve as the primary point of contact for my clients, and she has been fully briefed on all ongoing matters.
Per our earlier discussions about my pregnancy, I had already completed the major project milestones that were due during this period. The remaining tasks have been redistributed among the team with their agreement.
I plan to check in with you via phone once a week to discuss any critical matters that may arise, though I trust the team to handle most situations effectively.
Thank you for your understanding and support during this challenging time.
Best regards,
[Your name and position]
Department: Legal
Work Email: yourname@company.com
9. Post-Hospitalization Recovery Leave
Subject: Medical Leave Extension Following Hospitalization
Dear Dr. Mitchell,
I hope this email finds you well. I am writing to request an extension to my current medical leave following my unexpected hospitalization last week.
While I had initially planned to return to work tomorrow, my doctor has strongly advised that I need an additional ten days of recovery at home. I have attached the updated medical certificate detailing this recommendation.
My anticipated new return date would be April 25, 2025. I am recovering steadily, but need this additional time to regain my strength and ensure I can return to work at full capacity.
Mark has been covering my essential duties admirably during my absence, and he has agreed to continue doing so until my return. I have spoken with him by phone to address any questions about ongoing projects.
I apologize for any inconvenience this extension may cause and appreciate your continued understanding during my recovery process.
Thank you for your support during this challenging time.
Warm regards,
[Your name and title]
Home Address:
123 Recovery Lane
Wellness City, NY 10001
Personal Phone: (555) 567-8901
10. Caregiver Medical Leave Request
Subject: Medical Leave Request – Family Caregiver Responsibilities
Dear Mrs. Johnson,
I am writing to request medical leave under our company’s family medical leave policy to care for my mother who has recently undergone major surgery and requires full-time assistance during her initial recovery period.
Based on her physician’s assessment, I am requesting two weeks of leave, from June 5 to June 19, 2025. I have attached the medical certification from her doctor confirming the need for a caregiver during this period.
To prepare for my absence, I have: – Completed all pending reports and submitted them ahead of schedule – Briefed my team on the status of all ongoing projects – Prepared detailed instructions for tasks that will need attention during my absence – Set up an emergency contact protocol if my input is absolutely necessary
While I will be fully focused on my mother’s care, I can be reached via my personal cell phone (555) 678-9012 for truly urgent matters between 1:00 PM and 2:00 PM daily.
I greatly appreciate your understanding and support during this family medical situation. I look forward to returning to work on June 20, 2025.
With gratitude,
[Insert your name and department]
Employee ID#: 34567
Direct Supervisor: Jane Smith
11. Medical Leave for Diagnostic Procedures
Subject: Medical Leave Request for Diagnostic Medical Procedures
Dear Ms. Taylor,
I am writing to request medical leave for upcoming diagnostic procedures that require preparation, attendance, and recovery time. My doctor has scheduled these important tests to investigate some ongoing health concerns.
I would need to be absent for three consecutive days, from December 8 to December 10, 2025. The procedures themselves are scheduled for December 9, but preparation is required the day before, and my doctor has advised rest following the procedures.
I have attached a note from my medical provider confirming these appointments without disclosing confidential medical details. I anticipate returning to work on December 11, assuming there are no complications.
In preparation for my brief absence, I have worked ahead on the monthly analytics report and will have it completed before my leave begins. I have also briefed Ashley on my other responsibilities, and she has kindly agreed to address any urgent matters that may arise while I am away.
Thank you for your understanding. I value my role on our team and am taking these steps to ensure my health allows me to continue contributing effectively.
Regards,
[Your name and role]
Phone: (555) 789-0123
Employee ID: IT-1234
12. Intermittent Medical Leave Request for Chronic Condition
Subject: Request for Intermittent Medical Leave Arrangement
Dear Mr. Wilson,
I am writing to formally request an intermittent medical leave arrangement to manage a chronic health condition that occasionally requires medical attention and recovery time.
My healthcare provider has advised that I may need approximately two days of leave per month for the next six months for treatments and potential recovery. These absences would not follow a regular pattern, as they would depend on symptom flare-ups and treatment scheduling.
In accordance with company policy, I will provide as much advance notice as possible when I need to take these days. For planned medical appointments, I will notify you at least one week in advance. For unexpected flare-ups requiring immediate attention, I will inform you as soon as the need becomes apparent.
I have attached documentation from my physician supporting this request for intermittent leave. I would appreciate if we could discuss how to best manage workflow and communication around these occasional absences.
Please know that I remain fully committed to my role and responsibilities. I am confident that with this accommodation, I can effectively manage my health while maintaining my professional obligations.
Thank you for your understanding and support.
Sincerely,
[Sender’s name and position]
Department: Project Management
Office: West Wing, 3rd Floor
Extension: 5678
13. Medical Leave for Elective Procedure
Subject: Medical Leave Request for Elective Medical Procedure
Dear Dr. Martinez,
I am writing to request medical leave for an elective medical procedure that I have been postponing but now need to address. After consultation with my healthcare provider, we have determined that addressing this health issue will improve my overall wellbeing and workplace productivity in the long term.
I have scheduled the procedure for May 5, 2025, and my doctor advises that I will need approximately five days for recovery. Therefore, I am requesting medical leave from May 5 to May 9, 2025, with plans to return to work on May 12.
I have chosen this timing specifically because it falls after the completion of the Henderson project and before the start of our next major initiative. I have attached the necessary medical documentation supporting this request.
To ensure smooth operations during my absence: – I will complete the quarterly budget review before my departure – The team presentation scheduled for May 7 has been reassigned to Chris, who is fully prepared – I have created detailed notes on all ongoing projects for reference
I appreciate your consideration of this request and would be happy to discuss any questions or concerns you might have. I am committed to making this brief absence as seamless as possible for our team.
Thank you for your support.
Kind regards,
[Your name and title]
Department: Operations
Direct Line: (555) 890-1234
14. Medical Leave Request for Dental Surgery
Subject: Medical Leave Request – Dental Surgery and Recovery
Dear Mr. Baker,
I am writing to request medical leave for an upcoming dental surgery. I need to have two impacted wisdom teeth removed, a procedure that requires anesthesia and subsequent recovery time.
The surgery is scheduled for January 20, 2025. Based on my oral surgeon’s recommendation, I am requesting three days of medical leave, from January 20 to January 22, 2025. I expect to return to work on January 23, though my surgeon has advised that I might experience some discomfort and swelling for several days following the procedure.
I have attached documentation from my oral surgeon confirming the necessity and timing of this procedure. Our company handbook indicates that dental surgical procedures qualify for medical leave, but please let me know if additional documentation is required.
I have already completed the client proposal that is due this week, and have briefed Daniel on my other responsibilities. He has agreed to handle any urgent matters that may arise during my brief absence.
Thank you for your consideration. I appreciate your support in allowing me to address this health concern.
Regards,
[Your name and department]
Internal Phone: x6789
Employee ID: HR-9876
15. Medical Leave Request for Dependent Child
Subject: Medical Leave Request to Care for Sick Child
Dear Mrs. Anderson,
I am writing to request medical leave to care for my son, who has been diagnosed with pneumonia and requires full-time care for the next few days. His pediatrician has provided a note stating that he needs constant supervision and medication management, which I have attached to this email.
I am requesting three days of leave, from November 10 to November 12, 2025, with plans to return to work on November 13. His doctor will reassess his condition on November 12, and I will promptly communicate if any changes to this plan become necessary.
I understand this request comes at a busy time for our department. To minimize disruption, I have: – Completed and submitted the monthly compliance reports ahead of schedule – Rescheduled my client meetings for next week – Briefed Samantha on two urgent matters that may need attention in my absence – Set up an auto-responder with Samantha’s contact information for urgent inquiries
While caring for my son will be my primary focus, I will be reachable by phone for truly urgent matters between 1:00 PM and 2:00 PM each day at (555) 901-2345.
I appreciate your understanding during this family medical situation and will do my best to stay on top of critical work matters remotely when possible.
Thank you for your support.
Sincerely,
[Sender’s name and role]
Home Address:
456 Family Street
Parentville, CA 90001
Personal Email: yourname@personal.com
Wrapping Up: Medical Leave Requests
Crafting an effective medical leave request email requires clarity, professionalism, and appropriate detail. The examples provided offer a solid foundation that you can adapt to your specific situation. Always remember to follow your company’s policies regarding medical leave, provide necessary documentation, and communicate proactively about your return plans.
The key to a successful medical leave request is balancing transparency about your need for time off with appropriate boundaries around your personal health information. Be clear about your expected absence dates, how your work will be handled during your leave, and how you can be contacted if absolutely necessary.
With these templates as your guide, you can confidently request the time you need to focus on your health or care for family members, while maintaining professional relationships and ensuring a smooth transition both when you leave and when you return to work.