##letterhead##

##label##

##today##

##_ReferringBlock##

Dear Dr. ##referral_nameL##

Thank you for referring this pleasant ##_age## ##gender## who presents with *.

PAST MEDICAL HISTORY:
##medical_historyS##

MEDICATIONS:
##druglist_line##.

ON EXAMINATION:
Their weight today was ##WT##kg, ##his_her## head and neck exam is normal, ##his_her## chest is clear, ##his_her## cardiovascular exam is normal, ##his_her## abdomen is .



page 2

##today##


Re:##patient_name## DOB: ##dobc##

DISCUSSION: This is a ##age## year old ##gender## who presents with .

Once again, thank you for this kind referral.

##_ClosingSalutation##