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How to write a leave request for a critically ill patient

A critical illness may occur suddenly, so how should you write a request for leave in such an emergency?

A sample request for leave for a critical illness

Teacher x: < /p>

My father is seriously ill and is hospitalized. The hospital has issued a critical illness notice. I need to take three days off to visit him and hope for approval.

Student: xxx

xx, xx, month xx, xx

How to write a critical illness leave note

Critical illness notice

Relatives of the patient:

Age of the patient (Mr. Madam): Ethnicity Hospital number: . The patient is currently hospitalized in the Department of our hospital. The current diagnosis is that despite active rescue efforts, the condition is deteriorating and may be life-threatening at any time. A critical illness notice is issued.

Despite this, we will still take effective measures to actively rescue. At the same time, we would like to inform you: During the rescue process, the hospital may not be able to obtain your consent in advance when using and taking certain equipment and treatment methods necessary for emergency treatment. Please understand, cooperate and support us. If you have other requirements Please inform our department director immediately after receiving the critical illness notification.

Shihezi Development Zone Hospital Department

Physician’s signature: Year, month, day

Relative/guardian’s signature: Year, month, day

Person in charge of the unit Signature: Year, Month, Day

Aiwen Remarks:

(This notice is made in duplicate, with the hospital and the patient’s relatives each holding one copy)

Shihezi Economic and Technological Development District Hospital

Leave request for family member who is seriously ill

School Party Branch:

Because my mother is suddenly ill and needs hospitalization, I cannot attend the party class this Saturday. and other activities, please approve.

Zhang Daming

20xx.6.30