<<Miscellaneous:User Letterhead>>

<<Doctor:Name>>
<<Doctor:Qualifications>>
<<Doctor:Provider Number>>

<<Miscellaneous:Date>>

<<Addressee:Name>>
<<Addressee:Full Address>>

Dear <<Addressee:Greeting>>,

Re: <<Patient Demographics:Title>> <<Patient Demographics:First Name>> <<Patient Demographics:Surname>>
<<Patient Demographics:Address>>
<<Patient Demographics:City>> <<Patient Demographics:Postcode>>

Thank you for seeing <<Patient Demographics:Title>> <<Patient Demographics:First Name>> <<Patient Demographics:Surname>>, age <<Patient Demographics:Age>>, for opinion and management.

Presenting Problem:

Past History: 
<<Clinical Details:History List>>

Allergies: 
 <<Clinical Details:Allergies>>

Current Medications:
<<Clinical Details:Medication List>>

I seek your opinion regarding 

Thankyou for your care and assistance. I look forward to hearing the outcome of <<Patient Demographics:First Name>>'s attendance.

Please note: <<Patient Demographics:First Name>> is registered for Close the Gap, the Indigenous Chronic Disease Package - PBS Copayment Measure. Please ensure all scripts for PBS medicines for this patient are annotated with the letters CTG together with your signature next to the patient’s name. Thank you.

Yours sincerely,

<<Doctor:Name>>