Sample letter from doctor to utility company 2025

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A doctor disability letter is a statement from your primary care doctor that can be used as a source of medical evidence that can help provide support for your disability benefits application.
A Letter of Medical Necessity (LMN) is the written explanation from the treating physician describing the medical need for services, equipment, or supplies to assist the claimant in the treatment, care, or relief of their accepted work-related illness(es).
I am writing on behalf of my patient, [Patient Name], to document the medical necessity to treat their [Diagnosis] with [Product Name]. This letter serves to document my patients medical history and diagnosis and to summarize my treatment rationale. Please refer to the [List any Enclosures] enclosed with this letter.
Your doctor or other provider may be asked to provide a Letter of Medical Necessity to your health plan as part of a certification or utilization review process. This process allows the health plan to review requested medical services to determine whether there is coverage for the requested service.
For example, an amphetamine prescription may be medically necessary on this definition in a patient with abnormal concentration and attention that is significantly reducing their ability to function at school or the workplace.
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In this letter, your doctor tells the utility company that you need your utilities to stay on for medical reasons.
I am writing on behalf of my patient, [PATIENT NAME], to [REQUEST PRIOR AUTHORZATION/DOCUMENT MEDICAL NECESSITY] for treatment with [INSERT PRODUCT]. The [PATIENT NAME] has a diagnosis of [DIAGNOSIS] and needs treatment with [INSERT PRODUCT], and that [INSERT PRODUCT] is medically necessary for [him/her] as prescribed.
It serves to inform utility companies that a patient is suffering from a serious and chronic illness, and that discontinuation of utility services could negatively impact the patients health.

sample letter from doctor to utility company