Medical Treatment Authorization Letter

Dr. Susan Robinson

H.O.D- physiology

New Life Hospital

Dear Dr. Robinson,

I am writing you this authorization letter to take your permission for my medical treatment of physiology problem of legs due to which I am unable to move. I have consulted Dr. Joan Smith, who educated me about the risk associated with required treatment as my problem is in second stage. Kindly find the enclosed medical track to understand my case history.

Dr. Smith asked me to take your authorization letter for my medical treatment as you are the head of department of physiology department in New Life Hospital. I do understand the threat of losing my legs if treatment fails. But I am very positive about this medical cure and hence I am willing to take the risk. I hereby, declare that I am ready to take the responsibility of medical outcomes of my treatment.

Kindly grant me your authorization letter for medical treatment. Please contact me at foster@gmail.com regarding any query.

Yours sincerely,

Hannah Foster

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