Pt Referral Fax Cover Sheet

FAX

To: Dr. Jane Smith

Date: July 15, 2056

From: [YOUR NAME]
Company: [YOUR COMPANY NAME]
Contact Details: [YOUR CONTACT DETAILS]
Email: [YOUR EMAIL]

Re: Pt Referral Fax Cover Sheet

Fax no. 123-456-7891

Message

Dear Dr. Smith,

I am formally referring my patient, [Patient's Name], to your care due to persistent symptoms requiring specialized expertise in [Specialty]. As your esteemed skill set and professional experience align perfectly with the patient's needs. Enclosed are relevant medical records.

Your commitment to excellence in [Specialty] and patient care is highly valued. Please keep me informed, and feel free to contact me for additional information.

Thank you for your invaluable contribution.

Sincerely,

[YOUR NAME]
[YOUR COMPANY NAME]
[YOUR EMAIL]