[Your Name]
[Your Address]
[City, State, Zip Code]
[Email Address]
[Phone Number]
[Date]
[Cardiologist’s Name]
[Cardiologist’s Office]
[Office Address]
[City, State, Zip Code]
Dear Dr. [Cardiologist’s Last Name],
I hope this message finds you well. I am writing to request your assistance with a matter related to my ongoing disability case. As you are aware, I have been dealing with [specific heart condition or limitations] that have significantly impacted my daily life and ability to work.
My disability lawyer has asked for a detailed form to be completed, which outlines my medical conditions and related limitations. This information will be crucial in supporting my claim for disability benefits. Given your understanding of my health history and current condition, your input would be invaluable.
I would greatly appreciate it if you could fill out the form at your earliest convenience. If you require any additional information or clarification regarding the specifics of my situation or the form itself, please do not hesitate to contact me or my lawyer at [lawyer's contact information].
Thank you very much for your attention to this matter and for your ongoing support in my healthcare journey. I genuinely appreciate your time and effort in assisting me with this request.
Warm regards,
[Your Name]
[Your Date of Birth] (optional, for identification purposes)
1 answer