Letter Template — Client Disability Claims / Short-term Leave (DEFAULT — factual / within-scope)

Audience: Associates (contractors)
Goal: Keep letters factual, within scope, and clear about what is being requested.
Note: Each associate authors and signs their own letters.

Use this template by default. It is designed to stay within scope and stick to client-reported information.

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To Whom It May Concern,

Re: Short-term leave from work for (Client full name) ______

I am writing at the request of my client, (Client full name) ______, with their consent, to provide a brief summary of their counselling involvement and reported functional concerns.

I have met with (Client first name) for counselling from ____ to ____ (or: since ____) at a frequency of ____. During sessions, (Client first name) has reported symptoms consistent with ____ (e.g., anxiety, depression, burnout) and has described that these symptoms are impacting their ability to function at work.

Counselling has focused on supporting (Client first name) with coping skills, emotional regulation, and overall functioning. The treatment plan is ongoing.

At this time, (Client first name) reports that a short period away from work would support rest and stabilization while they continue treatment. This letter is provided to confirm counselling involvement and the client’s reported functional impact.

If you require additional information, please provide your questions in writing (with appropriate consent).

Sincerely,

Signature: ______

Name: ______
Credentials / Registration #: ______
Phone: ______
Email: ______