write a referral letter to a psycologist

Thanks for seeing your previous patient, Ms. Bethany Tailor, a 35-year-old schizophrenic patient, who was admitted with decompensation. She is ready for discharge today and ongoing care is required. Ms. Tailor came for admission to our hospital on 01/03/2018,
while
she was agitated and aggressive and she claimed hearing an auditory command and hallucination to harm herself. She had visual hallucinations and delusions as well. The antipsychotic medication, risperidone, was started and after 10 days she stopped reporting auditory and visual hallucinations. She is a polysubstance abuser, mainly cocaine and alcohol. The
last
usage of cocaine was 2 days before admission. She is a non-compliant patient and takes her medications irregularly. As you know she has hypertension and hypothyroidism and she is on treatment. On discharge time her insight is good. She has a fair judgment. No signs and symptoms of psychosis are there. I would appreciate it if you could continue your follow-up with her, especially needs more concentration on the major aspects of her decompensation, medication compliance, and substance abuse. Please do not hesitate to contact me if you need any more information. Yours sincerely,
Submitted by ali.homayoni93 on

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coherence
Be consistent with the formatting of dates (e.g., 01/03/2018 can be written as January 3, 2018).
cohesion
Ensure the transition between ideas is smooth for better readability.
task achievement
The letter provides a detailed background and current medical condition of the patient, aiding in a seamless transition of care.
writing tone
The formal tone and clear structure of the letter make it suitable for a professional context.
greeting and closing
The opening and closing greetings are appropriately formal and courteous.

The Greeting

Depending on the style and aim of the letter, you will need to adapt your greeting.

Always start an informal letter in the ways:

  • Dear + name
  • Hi / Hello + name

‘Dear...’ is more appropriate, so stick with this.

For a formal letter there are two options for the greeting:

  • Use Dear Sir or Madam if you don’t know the name of the person you are writing to.
  • Use Dear + surname if you do know their name, e.g. Dear Mr Smith or Dear Mrs Jones.

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