Psychiatry & Psychology
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[textarea cols=50 rows=8 default="GP Address"]

Dear [textarea cols=40 rows=1 default="Colleague"]

I am writing to advise you about your patient who was recently referred to
[textarea default="organisation"].

PATIENT DETAILS:

Name: [textarea cols=40 rows=1 default="patient name"]
Address: [textarea cols=70 rows=1 default="address"]
Date of birth: [textarea cols=10 rows=1 default="DOB"]
MRN: [textarea cols=10 rows=1 default="MRN"]

REFFERAL DETAILS:

Reason for referral: [textarea cols=60 rows=1 default="reason"]
Date of referral: [textarea cols=40 rows=1 default="date"]

Although I attempted contact with [textarea cols=40 rows=1 default="patient name"] via telephone and in writing, [textarea cols=10 rows=1 default="she/he"] did not respond.

Should you have contact with [textarea cols=40 rows=1 default="patient name"], and wish to re-refer [textarea cols=10 rows=1 default="him/her"] to our service, please contact the [textarea name="variable_1" default="Mental Health Access Line on 1800 011 511"]. Alternatively, if [textarea cols=10 rows=1 default="his/her"] situation is urgent, [textarea cols=40 rows=1 default="patient name"] can present to Community Mental Health (9:30-15:30 Monday-Friday), or the closest hospital's Emergency Department (outside of business hours) and request a Mental Health Assessment.

Yours sincerely,



[text default="Name"]
[text default="Title"]
[text default="Service"]
[text default="Tel"]


Dear

I am writing to advise you about your patient who was recently referred to
.

PATIENT DETAILS:

Name:
Address:
Date of birth:
MRN:

REFFERAL DETAILS:

Reason for referral:
Date of referral:

Although I attempted contact withvia telephone and in writing,did not respond.

Should you have contact with, and wish to re-referto our service, please contact the. Alternatively, ifsituation is urgent,can present to Community Mental Health (9:30-15:30 Monday-Friday), or the closest hospital's Emergency Department (outside of business hours) and request a Mental Health Assessment.

Yours sincerely,






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