Sample Letter Permanent Medical Disqualification

[Your Physician's Name]

[Physician's Address]

[City, State, ZIP]

[Date]

[Your Name]

[Your Address]

[City, State, ZIP]

Re: Sample Letter - Permanent Medical Disqualification

Dear [Your Name],

We regret to inform you that, after a careful evaluation of your medical condition, it has been determined that you are permanently medically disqualified for the specified activity, job position, or any relevant purpose.

This decision has been made by our experienced medical team, consisting of board-certified physicians specializing in [specific field, if applicable]. Their assessment is based on thorough medical examinations, diagnostic testing, and a comprehensive review of your medical history.

Please understand that this decision has not been made lightly and has been taken with the utmost concern for your health and safety, as well as the welfare of others involved. Our priority is to ensure that individuals are physically capable of performing the necessary tasks and responsibilities required for the activity or job position in question.

This letter serves as an official notification of your permanent medical disqualification. It is crucial that you acknowledge and respect this decision to prevent any potential risks or harm to yourself or others. We strongly advise against any attempts to engage in the activity or job position mentioned above.

If you have any questions or concerns regarding the decision or require additional information, please do not hesitate to contact our office. Our staff is available to assist you and provide any necessary clarification.

Thank you for your understanding and cooperation in this matter.

Sincerely,

[Your Physician's Name]

[Title/Position]

[Medical Institution/Practice Name]

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