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Letter of Referral

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THANKING:

(If you need to, thank the addressee for agreeing to see your patient)

Thank you for agreeing to see Ms.Miriam Mortell for me/Thank you for continuing the rehabilitation of Miriam Mortell…

REASON FOR REFERRING:

(Give all the necessary information regarding the patient and the reason why the patient is being referred to the addressee)

Ms. Miriam Mortell who is 55 years old has been suffering from…

I am writing to you with regard to Ms.Miriam who requires   treatment/therapy/rehabilitation

CASE HISTORY:

(Summarize from the case history notes given to you in the test)

Ms. Miriam Mortell has a history of…

Ms Miriam Mortell has had 6 surgeries…

Ms.Miriam has been having toothache on and off since

Ms Mortell has been undergoing treatment for …

Ms.Mortell has been taking chemotherapy since the past 6 months…

Ms.Mortell has neglected her oral hygiene…

Ms.Mortell has never visited a dentist before.

EXAMINATION:

Examination/Xrays/Scans revealed that Ms.Mortell has lesions…

Upon examination, we found that Ms. Mortell’s BP was…

YOUR DIAGNOSIS AND WHAT YOU WOULD LIKE YOUR PATIENT TO BE TREATED FOR:

Ms.Mortell’s main problem is swelling and stiffness of her joints due to…

Ms.Mortell may require assistance in…

Please note that Ms.Mortell is an HIV-/Cancer patient…

WHAT THE PATIENT HAS TO DO NEXT:

Ms.Mortell is to meet the physician…

Ms.Mortell has an appointment with the specialist…

Ms.Mortell has to continue treatment for a week before…

REQUEST FOR ASSISTANCE:

Could you please treat the …?

I would be grateful if you could manage the patient…

Please could you advice/examine/diagnose…

CLOSING REMARKS

Thank you for agreeing to assist in this matter.

I shall contact you next week to arrange for…

THE FINISH

Yours faithfully, (If you don’t know the name of the person you’re writing to)

Yours sincerely, (If you know the name of the person you’re writing to)

Best wishes,

Best regards, (If the person is a close business contact or friend)

Thanks and regards,

SIGN OFF

Your full name: Adam Jones

Your designation (if you wish): Physiotherapist

Hospital/Place of work (if you wish): Rejuvenation Clinic

June 1, 2016

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