MH – GP Letter Pt did not attend II
[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"]
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Sandbox Metrics: Structured Data Index 0, 20 form elements, 90 boilerplate words, 4 text boxes, 16 text areas, 20 total clicks
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