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1. Date and Place: Current date and location of writing the authorization letter
2. Recipient Details: Name and address of the medical institution or authority to whom the letter is addressed
3. Subject Line: Clear indication that this is an authorization letter for obtaining medical certificate
4. Authorizer Information: Full name, address, and contact details of the person giving authorization
5. Authorized Person Information: Full name, address, and contact details of the person being authorized
6. Purpose Statement: Clear statement of the purpose for obtaining the medical certificate
7. Authorization Statement: Explicit statement granting authority to collect the medical certificate
8. Time Period: Validity period of the authorization
9. Signature Block: Space for signature of the authorizer with date
1. Relationship Declaration: Statement describing the relationship between the authorizer and authorized person, used when relevant for establishing trust
2. Urgency Statement: Declaration of urgency if the medical certificate is needed on priority basis
3. Specific Powers: Detailed list of specific actions the authorized person can take, used when multiple tasks related to getting the certificate are involved
4. Witness Details: Space for witness information and signature, used when additional verification is required
5. Medical History Reference: Reference to specific medical consultation or treatment dates, used when the certificate relates to specific past treatment
1. Identity Proof: Copies of government-issued ID of both authorizer and authorized person
2. Relationship Proof: Documents establishing relationship between parties if relevant (marriage certificate, birth certificate etc.)
3. Previous Medical Records: Relevant medical records that may be needed to obtain the certificate, if applicable
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