Medical Documentation

Cases that do not require medical documentation:

  • Appeals
  • Psychological/Psychiatric conditions

All other cases:

Physicians must complete a medical documentation form. It should:

  • include detailed information
  • be stamped by the physician’s office or include a letter on the physician’s letterhead
  • be submitted to the Leave Bank Office via:

All medical documentation will be kept confidential.

If medical provider and patient are located outside of the USA: submit medical documentation regardless of the type of medical emergency.

More Information

Contact or call 301-443-8393.

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