Note how this letter focuses on symptoms and the effect on work, rather than the disease itself. Also note how it shows a deterioration in a health condition.
DATE:
To Whom It May Concern:
I understand this letter will be used to help Jan Claimant obtain Medicaid.
I've worked closely with Jan for three years now. We both work in the bookkeeping department as bookkeepers.
Jan used to be the life of our unit. She always had the most energy and really seemed to enjoy her work. In the past year, I have noticed a big change in her. Now she looks tired when she comes in, she doesn't have the spark and energy that she used to. She doesn't visit and chat and laugh like we all used to. She goes right to her cubicle and stays there.
I have also noticed that her work is not as good as it used to be. Before, Jan was the expert everyone would take the tough questions to. She knew every little detail and procedure. Now I have to correct some of her work. She makes a lot of errors now when she never used to make any at all.
Her output isn't as much as it used to be either. She's working much slower, handling fewer accounts, and she's still making more errors that we have to correct. No one in management has said anything yet, mostly because we like her so much in our unit we have tried to pick up the slack. But as it gets worse, and it is definitely getting worse every week, they are going to notice soon and call her on the carpet.
If you have additional questions, please let me know.
Very truly yours,
(Type or Print name and address)