Leave of absence letter for a medical checkup (+5 Samples)

In this post, we will be laying out a number of samples of “Leave of absence letters for a medical checkup”.

Writing a “Leave of absence letter for a medical checkup”

When you are writing a leave of absence letter for a medical checkup, you can consider the following points.

  • You will first need to mention eh date or dates on which you require leave
  • You can then mention the reason for which you need leave, in this case due to a medical checkup
  • Furthermore, you can indicate that you have handed over your responsibilities to someone else in the office for that day
  • You can also hand over your personal contact details to be used in times of an emergency

Sample 1:


The (Recipient Name)

(Company Name…..)


Subject: Leave application for a medical checkup

Dear Sir/Mam

My name is Virat Kohli, and I have been working as a marketing agent in your company for the past 3 years. Last night after having my dinner, I got some minor stomach pain which lasted for the whole night. For that reason, I have to visit for a medical checkup to actually know the exact reason for that stomach pain.

I request you to kindly provide me one day leave that is for tomorrow. I shall be thankful to you.


Virat Kohli

Sample 2:

Dear Sir,

I request you for one day’s leave for my health checkup. I have not been well since last week, and yesterday I got a high temperature. The doctor advised me of a brief medical examination and prescribed some tests. I hope you will oblige my request.


Your Name

Sample 3:


The Principle,

Institute Name…

Institute Address…

Sub: Leave Application for Medical Checkup

Respected Sir,

I am a student at O-Level/Grade in your school. I am suffering through brain hemorrhage (State your actual situation) and the doctor has given time for a medical checkup, CT scan, and some other blood tests. I have an appointment tomorrow morning at (Time). I request you to please allow me to go for a medical checkup as it is a very serious disease.

Thanking you and looking for one-day leave approval.

Yours Obediently,



Sample 4:

Dear Madam,

I have committed on 30th June 2022 with my Doctor for my Medical Check-up.

So I would like to inform you that I want three days leave from 29th to 31st June 2022.

Thank you very much for your consideration.

Best regards,


Sample 5:

Dear Sir,

I want to say that I have an appointment with a doctor tomorrow in the morning. Unfortunately, the time of the appointment is clashing with the school time. Therefore, I request you to grant me a leave for tomorrow. I shall be very thankful to you.

Yours Obediently,

(Your Name)

Frequently asked questions:

How do I request medical leave from my boss?

You can request medical leave from your boss by writing a leave of absence letter and stating your actual reason. You can also indicate that you are willing to provide a doctor’s note for proof. Furthermore, you can mention that you have handed over your responsibilities to another employee in the office during the day or days of your leave.

What is medical leave called?

Medical leave is called FMLA or Family and Medical Leave act in the United States. According to this act, the employee is allowed up to 12 weeks of unpaid leave in a year for family and medical reasons.

If you like this post, please leave your comments and questions below.


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