Sample Letter: Caring for a disabled person

SAMPLE LETTER: May be copied and pasted onto new document for printing on your letterhead

To whom it may concern:

Re: _______________________ Date of Birth_____________

This is to certify that _____________________ is unable to work because she must care for (a) disabled parent

(b) disabled child

(c) other disabled household member

The ill household member has the following diagnoses:_____________________________________________________________________________________________________________________________________

________________ provides daily help with

1. bathing
2. dressing
3. feeding
4. safety assessment and assurance
5. home nursing needs including medication administration
6. toileting
7. other________________

If you require further information please feel free to contact me.

Sincerely,