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Format of Referral Letter for Patient

Format of Referral Letter for Patient

Format of Referral Letter for Patient

 

To,

(Designation),

Address:

Subject: Referral Letter for Patient

This referral letter is authorized under the name of (Name:XYZ) who is my patient in Chronic Tuberculosis. I had personally checked his/her state and took his/her X-ray, Urine Test, Blood Test and Saliva Test as well to determine the nature of disease at the onset and recently too that is after three months. According to his/her reports his/her Tuberculosis is Positive now and he/she is suggested to leave the hospital and take medication at home but he/she had severe respiratory issues as well so it would be quite difficult for his/her to fight back this disease at his/her home.

Our hospital is only specialized in Tuberculosis of all types and we do not cater with Respiratory issues. For meeting such conditions we desperately need the assistance of your hospital and doctors to cope with this problem.

All the necessary documentation and attestation evidence is attached with this referral letter for your convenience and to avoid any doubt. We have full trust on the person we are sending to your place on our behalf. We hope you will find no worry and our journey of success will be continued in good terms. Thanking in anticipation for the healthy cooperation.

Regards,

(Designation),

Address: