WebFeb 12, 2012 · Sample Letter to Document Disability From Primary Care Physician To Vocational Rehabilitation The purpose of this letter is to document significant chronic health conditions that impair activities of daily living for XXXXXXX – XXXXXX. I have been his primary care physician for18 years. Web[Your Health Care Provider’s Letterhead] [Date] To whom it may concern: I am the [treating physician, nurse practitioner, nurse midwife, licensed midwife, clinical psychologist, clinical social worker, licensed marriage or family therapist, licensed acupuncturist, physician assistant, chiropractor, social worker, or health care professional] for [Your Name].
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