How to Create a Medical Letter?
A medical letter is a document that doctor's issue per their patient's request. People use it as proof of undergoing medical treatment, and as an excuse for a person's absence at work or school. Unlike other letters, the doctor's name, signature, and license number make this document official.
An annual survey done by the American Hospital Association back in 2018 shows that there were 34,251,159 hospital admissions in the US alone. This number has no doubt increased today and that means a lot of medical letters being produced. Medical letters need to sound professional since they're also considered as legal documents. If you need help in creating one, feel free to refer to our list of guidelines below.
1. Gather Information about the Patient
Patient consultations involve asking questions about his or her condition. To write the medical letter, have an idea about the details, start the process by assessing them. Ask about their health history, sign and symptoms, and medications or treatment.
2. Create an Unofficial Draft of the Letter
Since the letter you'll be issuing is for official use, every detail has to be correct. To ensure this happens, start by writing a draft of the content. Even though this is only the initial version of your medical letter, it's important to observe proper formatting and writing tone.
3. Write the Contents of Your Medical Letter
After writing the draft, you can finally begin writing the final version of your letter. Depending on your preference, you can use Word, Pages, or Docs to write a simple letter. Make sure to keep your letter's content straightforward and understandable.
4. Indicate the Discharge Diagnosis of the Patient
When necessary, you should end your printable letter with the patient's final diagnosis. Here, we emphasized "final" since there are times wherein it differs from the diagnosis during the admission. Respectively, these are referred to as the admitting and discharge diagnoses.
5. Place Your Name, Signature, and License Number
Last but not least, write your name and affix your signature over it. And since people use this document for school or employment purposes, it needs more than just your name and signature. Below it, also indicate your profession and license number.
What is the purpose of a medical letter?
- To allow an employee to go back to work following absences caused by illness or injury.
- For insurance companies to reimburse an individual for her or her hospital expenses.
- To learn about a patient’s diagnosis and make work adjustments, if needed.
- To support filed leave credits and allow the employee to receive compensation.
What are the features of a medical letter?
- Name of the patient.
- Signs and symptoms.
- Family health history.
- Treatment and medications.
- Final diagnosis.
- Doctor’s name and signature.
What is a medical referral letter?
A medical referral letter is a document that a general physician sends to a specialist. This letter explains the reason for the referral, which is usually a lack of knowledge about a particular condition. This letter also elaborates on the medical history of the patient.
What are some tips for formatting your medical letter?
- Use justify alignment.
- Use single spacing, but add another empty space before starting a new paragraph.
- Use formal fonts such as Arial, Times New Roman, or Verdana.
- Keep the content simple and direct.
What are the different medical specialties?
Among the many medical specialties, here are some that use medical letters.
- Family medicine.
- Internal medicine.
- Pediatric medicine.
- General surgeon.