Sample Disability Letter Template (Page 3 of 3) in pdf

Sample Disability Letter Template Page 3

Jane is a kind, caring person, she is willing to try to do things, but her stamina to even take a slow

walk is waning due to her chronic pain and suffering of so many medical problems and symptoms

as a result of so many surgeries and her chronic kidney infections, so many things now.

I have been present to observe the veterans moods, conduct or behavior.

My relationship with the veteran:

I accompany Jane to her medical appointment’s I will take Jane for a ride now and then. I assist her

with her household chores when I can, I shop for her or assist her in her shopping needs. I visit her, I

talk to her, I offer her support. I fight for her medical needs. I see Jane almost everyday. I help her to

rest on my couch, I cover her with my blankets and I will sit with her in a restaurant not minding how

she looks or smells!

Expert witness qualifications:

( See attached )

I am not of any military service nor have ever been associated with any military services.

I am validating my statements regarding the serious nature of Jane’s physical condition at this time

by the use of photos I took of her on April 16, 2001 while hospitalized for urosepsis. Everything I

have stated in this communication regarding Jane’s physical, emotional and psychological

presentations at this time are fact and there is no one who can prove other wise .

Feel free to contact me in the event you would like further information, validation or my opinion of

Jane’s medical needs.

Respectfully yours,

_____________________________

Patient or Patient Advocate

Sample Disability Letter Template Page 3