OET Corrected Letter 1 - 30

OVER 500 ERRORS ARE DISCUSSED.
READ THESE LETTERS ALONG WITH THE

CORRECTIONS.
● Red - Inappropriate
● Red - Incorrect
● Grey - Old style
● Magenta - Irrelevant
● Green - Added words
These are letters written by my paid students. Most of them have passed OET and
moved abroad recently. Just read as if these are your own letters and consider these
corrections as yours. May God Bless all of You!
LETTER 1 | SCORE 340
Mrs Christina Dakota

Head Nurse
Mavin Nursing Agency
Level 24, Market Street
NSW 2000
● Dear members, please make a list of the corrections here in your notebook.
● That will be of great help!
8 July 2010
Dear Ms Dakota
Re: Mrs Elma Edith, DOB:19 February1967
● As I have told, please calculate the age rather than writing the DOB!
This letter will introduce Mrs Edith who was recently diagnosed with early stage liver
cirrhosis. She requires personal care at home from your facility after being
discharged today.
Mrs Edith was presented to our health care agency with the complains complaints of
vomiting, nausea and right upper quadrant abdominal pain. For this, after a series of
investigations[comma missing] [,] she was diagnosed as the same after which her
treatment was commenced on medical care as there is [change tense to past] was

no need for surgical intervention. During hospital stay[,] she has[change to past] had
a weight loss of 3 kg but [but is used between two opposite ideas] her prognosis is
acceptable.
● Weight loss (negative)

● “She commenced medication on aspirin but t he medicine failed to make any
difference.”
● Suppose you you need to start a sentence with “but”, use “However,”
instead. Note the comma after However,
● Prognosis is acceptable (Positive)
Pertaining to Mrs Edith Edith’s social history, she lives with her disabled husband. As
she has no other caregivers than him, she needs assistance for her personal care.
● Never begin a sentence with “Hence”

● Hapless - Dependent
● Invalid - Disabled
● You wrote this paragraph a little carelessly?
● Next
Ms Edith’s past medical history reveals that she is a known hypertensive patient
since 1994 although now it is in control. Besides that, she had previous
hospitalization for jaundice and it was treated successfully.
As during today's review Mrs Edith was found comfortable and doing well, her
discharge has been scheduled for today.
In the light of the above, it would be beneficial if you could arrange a nurse to
provide post medical care to render Mrs Edith personal care for her speedy recovery.
All relevant documents that would render help Mrs Edith's Care are enclosed within
the letter. Please do not hesitate to contact me for further information
Yours sincerely
Molly Tia
Charge Nurse, ERR Health Care Agency.
● Some repetitions!
● A little oversize letter (above 220? Not an issue!)
● Score 340
● You can attend similar corrections LIVE! Join my telegram group!
NB! If you would like to join my online training, please join English Melon OET

telegram group.
Dr Glynn Howard
Surgical Department
249 Wickham Tce
Brisbane, 4001
Ref: James Warden, DOB 05/07/32
Mr Warden has been suffering from groin pain due to bilateral inguinal hernia. He
requires an expert management and evaluation at your facility.
Pertaining to his medical evaluation, Mr Warden has a history of hypertension for 5
years for which he takes Noten 50 mg per day and he is allergic to drugs containing
penicillin. Mr Warden drinks alcohol moderately and takes aspirin daily.
Mr Warden presented at the clinic on 7 of the last month for regular checkup. On
examination, it was noticed that he had a small mass in his right groin which had
features suggestive of left inguinal hernia. As a result of that, he was advised to
avoid any heavy lifting. Also, His BP was found to be 155/85 for which he was
encouraged to reduce alcohol consumption as well.
On consultation today, Mr Warden presented with a new complaint of a lump in his

right groin concomitant with dull pain. His abdominal examination revealed that he
has a noticeable bilateral inguinal groin hernia.
It is worth noting that Mr Warden has agreed to undergo surgical operation under
local anesthesia rather than general anesthesia.
In the light of the above details, I would be grateful if you could take over the care of
Mr Warden at your service and provide the best treatment for him.
Should you need any further information, please do not hesitate to contact me.
Yours Sincerely,
Dr Brown
General practitioner.

Read these pages for sure! Day 16 Day 17 Day 18 Day 19
Mrs Monica Kultan

Senior Nurse Practitioner
University of Marchbank Health Center
Hillsdale Rd - Marchbank
10 February 2019
Dear Mrs Kultan,
Ref: Mr Jake Peterson, 18 years
Mr Peterson,[is that comma by mistake?] is a regular patient at my school clinic who

has has been experiencing alopecia and associated depression. He requires ongoing
monitoring during transition to university and to provide separate room for exam.
● Well began!
● Next
● Seems like it is a medicine letter!!!
● No issues! Let’s complete this!
Initially, Mr Peterson presented to me on August 2013 with complaints of hair

patches and consistent symptoms of anxiety for which he was recommended to use
steroid cream and to avoid stress but he discontinued the medication. Last year, he
re-presented to me with the same problem including weight loss of about 6 kg in 2
months and he refused to see a doctor. Later, he preferred to start homeopathic
treatments but it did not make any improvement in his condition and cost of
treatment was expensive.
● Amazingly good!
● Your two month’s hard work is paying off!
● Next!
Currently, due to Peterson's worsened condition he became distressed and found

difficulty in maintaining relationships with peer groups.
● Good!
Peterson has been staying at a boarding school for the past 8 years and his parents
live abroad. He is a non smoker but he consumes alcohol which has increased

recently to overcome his anxiety. May I also bring to your notice, his mother has a
history of depression.
● Next
It would be greatly appreciated if you could take care of Peterson's concerns which
would be beneficial for his speedy recovery.
Yours sincerely,
School Nurse.
● Score 380+
● All in place. Nothing irrelevant!
telegram group.
The Admitting Doctor

Emergency Department
Spirit Hospital
07 July, 2012
Dear Sir/Madam,
Ref: Mrs Betty Olsen, DOB: 29/01/1929
● Please try to convert DOB to age.

● OET mostly gives years with 19, 18, 19, etc based on the year.
● If it is 19, that is, 2019, make a quick calculation and find out the year!
● Next
I am writing to request an urgent admission for Mrs Olsen, an elderly widow and a
resident at our centre for the past two years. She requires immediate attention and
management for chest pain.
● You have included social part in purpose.

● Not good! The problem is, you will have to repeat the same later!
● Let’s see!

A retired nurse, Mrs Olsen is a known case of hypothyroidism since 2000. Also, she
has a history of hypertension and glaucoma for the past six years and she is on
medication for the same. She has had arthritis in the hands and incontinence issues.
It is worth mentioning that she is allergic to penicillin.
● Magnificent!
Mrs Oslen received a flu vaccine two months ago. Subsequently, she started
complaining of indigestion and insomnia along with shoulder pain which was
controlled with tablet Mylanta, Panadol and Normison as prescribed. Today she was
confined to bed and appeared weak. Her Bp was found elevated and, at 10pm, her
condition deteriorated which was managed with analgesics. At present her Bp is
190/100 mm of hg and her condition is unstable. She is complaining of persistent
and agonising chest pain. Due to the unavailability of Gp at our centre, she has been
[this has been means the patient is already on the way to the recipient’s hospital!]
transferred to your hospital by ambulance.
● The assessor may not even assess this letter further this point. She / will
mark it 380 or around and move to the next paper.
● Abhinaya, congratulation!
● But the problem is, in spite of this, you can fail!!!
● That is called OET!
● So, please be prepared for the worst and the best!
● Keep on improving! Do not stop trying!
● Next
It would be greatly appreciated if you could assess Mrs Olsen's condition as early as
possible and treat as deemed appropriate.
Herewith I have attached the details of her ongoin
g medication for your perusal. Should you require further information regarding Mrs
Olsen this elderly woman who is in need, please do not hesitate to contact me.
Yours faithfully,
Registered Nurse
Golden Pond Retirement Village.
● Score 380+
telegram group.

LETTER 5
Dr Pera Cassimates
1414 Logar Road
Mt Gravatt - 4222
Dear Dr Cassimates,
Ref: Ms Alison Martin, 28 years
● As I told, ask this question first - Whom am I writing this.

● Then ask, “will this information be needed for him?”
● Let’s start now. Although this is not your letter, most of these errors are
yours.
● Ready!
This letter will furnish an account of Ms Martin who was diagnosed with symptoms
suggestive of schizophrenia and associated disorders, she requires further
management and assessment at your service.
● Here, “has been diagnosed” is better than “was…”

● Especially no medication has been commenced after diagnosis!
● Next
A teacher, mother of two children, Ms Martin lives with her husband's parents. She
has a family history of schizophrenia which was [there is a possible error. If her
schizophrenia is totally under control you are correct but if the medication is still on,
use] has been controlled by Risperidone. Important to note, she has been under our
care for the past 10 years [This sentence needs a starting phrase] [++ Let’s connect
both the sentences] and recently,[no comma here] she had multiple visits in our
clinic on 19th and 20th of January[not recommended because the recipient of this
letter will not benefit much from the date] with complaints of frequent headaches,
poor concentration in job activities, decreased sleep, feels anxiety and tiredness.
Further, she found [“finds it difficult”] difficulty to live with her husband's parents
and is tired to do much with children. Diazepam 10 mg was prescribed for her along
with paracetamol, if [if indicates future and “as” indicates present] as required.
Besides, relaxation therapy and counseling was recommended for her.
Corrected:
A teacher, mother of two children, Ms Martin lives with her husband's parents. She
has a family history of schizophrenia which has been controlled by Risperidone.

Important to note, she has been under our care for the past 10 years and recently
she had multiple visits in our clinic with complaints of frequent headaches, poor
concentration in job activities, decreased sleep, anxiety and tiredness. Further, she
finds it difficult to live with her husband's parents and is tired to do much with
children. Diazepam 10 mg was prescribed for her along with paracetamol, as
required. Besides, relaxation therapy and counseling was recommended for her.
● Good lines but let’s start over.

● Some errors are there.
● No worries. This para should score B in spite of all these errors because the
language is genuine!
● Read this and let’s proceed to the Next
Today,[no comma] Ms Martin presented visited the clinic accompanied by her

husband with the complaints of reduced speech, impaired planning, delusion and
visual hallucinations for [“the last”] 5 days. On examination, she [verb missing] was
found to be depressed, with little eye contact, bizarre behavior and her speech was
disorganised.
● Next!
Based on the above information, your immediate attention is appreciated so that an
appropriate treatment plan can be initiated to manage Ms Martin's present condition.
Please do not hesitate to contact me if you have any queries.
Yours sincerely,
Charge Nurse.
● Fantastic (with some errros)

● Please reduce all the errors!
● Score 340 (with all these errors)
● Next correction starts in 2 minutes!
● Please scroll up!
telegram group.
LETTER 5
10th June, 2006

The Community Nurse Supervisor
Dear Sir/Madam,
● You have missed reference
This letter will introduce Mr Jones who is recuperating from removal of basal cell
carcinoma[a full stop here and start over]. He require [He/she + vS] requires
continuous care and support for his speedy recovery followed by discharge today.
● Okay! Next
Mr Jones was admitted to our hospital on 10th May with the diagnosis of basal cell
carcinoma of the left calf and consequently, (it is better to start with the next
sentence] Consequently[comma here] [,] the above mentioned surgical procedure
was performed. During the subsequent days[,] his wound was managed without any
complications and his pain was controlled with panadeine F forte 500mg. Presently,
he is able to walk with the help of crutches and he is independent in terms of his
personal hygiene and continence.
● Those punctuation issues - comma, full stop, etc

● Next
Socially, Mr Jones lives alone in a rented flat. He was is a retired postman and is
getting an aged pension. He was is divorced and currently in a good relationship
with ex-wife Sandra Jones. Habitually, he used to smoke and drink. However, this
elderly gentleman [verb is missing] is following a regular exercise and shows interest
in swimming, running and weight training along with listening to music and watching
movies.
● Well done!
● Next
Upon discharge, it would be greatly appreciated if you could provide daily dressing
changes along with monitoring of left calf for any signs of infection. Kindly note, he
needs to continue his medication panadeine F(no need capital F)forte, 500[space
here] mg for a week and thereafter on an as needed. basis. It is important to make
some arrangements in his home by occupational therapist as he lives alone. In case
of any emergency[,] you can contact his ex-wife Sandra Jones[name repeated] [“who
lives at”] 5 William Crescent, Smithtown, 0415835565.
Yours sincerely,
Registered Nurse

● Well ended.
● Please take note of “silly errors!”
● Next Live in 5 minutes.
telegram group.
LETTER 6
19 September, 2005
The Bunbury General Rehabilitation Centre
Dear Sir/Madam,
This letter will introduce Ms Clara, a 10th grade student who has undergone
emergency laparotomy and appendectomy. She requires further assistance and
follow up at your facility for her speedy recovery. Her discharge is due for today.
● Perfect! Next
Ms Clara initially presented with signs of peritonitis and septic shock along with high
temperature. For this reason, she underwent various routine lab investigations and
radiological assessment which revealed leukocytosis and fluid in the intra abdominal
space. Therefore, the aforementioned surgery was performed along with drainage of
abscess. Post operatively, she was monitored in surgical care unit and was
commenced with on antibiotics. Presently she has better prognosis.
● Great! Flawless!!!
● Next
An attention deficit hypersensitivity disorder sufferer, Ms Clara lives with her

parents and she is an the only child in her family.
As per discharge plan, it would be greatly beneficial if you could monitor her fever
and signs of infection. Please note that there is follow up visit for general
assessment on 1st October. Kindly contact Dr Brown in case of emergency.
Please feel free to contact me for any further information about this young girl.
Yours sincerely
Charge Nurse

● Score 390 or 400

● Kindly encourage your friends to join my live corrections
● See you on Monday!
telegram group.
LETTER 7
10 March, 2018
The Pharmacist
Dear Pharmacist,
Ref: Ms Luca Luke, 75 years
Ms Luca Luke[always use the second name to address people above 18 years], a
known case of yours, has been suffering probably from shortness of breath due to
chronic obstructive pulmonary disease or improper use of her inhaler. She requires
re-education for proper inhaler use.
● As I told you earlier, when there are more than 1 purpose, mention only the
more recent and more serious one.
● Next
During home visit, Ms Luke presented with severe shortness of breath, especially
during the day activities but not in the night. She used to rest or sit down to hold
her[only she can hold her breath! So, no need of “her”] breath back while
breauu`+thing difficulty. The Salbutamol was found ineffective during her symptom.
A little wheezing sound was observed on auscultation. In addition to these, she was
not using her inhaler appropriately. Therefore, two puffs of vent oil in was delivered
and she was educated about proper use of inhaler with spacer.
● Next
Ms Luke has regular home visits from our service for daily dressing of her leg ulcer.
She is on Ipratropium 25/250 two puffs every day and salbutamol every evening.
Ms Luke requires re-education regarding proper use of inhaler use[repeated “use”].

She claims that her pharmacist had instructed her a wrong way of inhaler use. Kindly
arrange an education session for this purpose.

You may involve me back into the care of this elderly woman by contacting me [learn
this style and copy this] if you have any queries.
Yours Sincerely,
District Nurse
● Score 330+
● Graaaaammarrrrr!
● Please be careful!
● Next correction commences after 5 minutes
telegram group.
LETTER 8
8 April, 2018
Dr Frank Farquad
Certified Diabetes Educator
Endocrine Specialists and Associates-115
Burk Street - Omaha
Dear Dr Farquard,
Ref: Ms Tabitha Taborlin, 69 Years
Ms Tabitha Taborlin was diagnosed with type 1 diabetes mellitus and she requires an
education and assistance for proper management of her condition.
During today’s visit, Ms Taborlin’s condition was found to be stable but it was noted
that she was not following her recommended diet. Although insulin is available at
home, she has not been using it regularly. Therefore, she was educated about the
necessity of glucose monitoring, insulin administration, diabetes’s complications and
smoking cessation. In addition to this these, an educational pamphlet and refills to
lantus and humalog were provided while discharge today.
● More than usual errors!

● Exam fear!
● Please get rid of fear!
● “All you have to fear is fear itself” - Roosevelt, American President!
● Next

A single woman, Ms Taborlin lives alone. She has a long history of type 1 diabetes and
non compliance with insulin medications which are lantus 45 units every night and
12 units of humalog as nutritional baseline. She has had multiple hospital admissions
due to diabetes ketoacidosis. In addition to this, she has essential hypertension. She
is underweight (48 kg) and she smokes 2 cigarettes daily.
● Silly errors! Beware!
Ms Taborlin requires an intensive education for stricter glycemic control. She needs
to be assisted for insulin pump, if required. Please note, she has a follow up within
one month.
Kindly contact me if you have any queries.
Yours Sincerely,
Registered Nurse
First Family Primary Care-Omaha
● Ended well!
● Score 340+
● Maybe 350 (Becasue no errors in other criteria)
● Next correction Just now!
● Scroll up!
telegram group.
LETTER 9
● fAILED TO include case notes

● From Monday, you will be able to see the case notes, too!
● Let’s start
● Watch carefully!
The Director
Aged Care Assessment Team
Brisbane South Region
78 Masterson St Acacia Ridge
Brisbane 4110
23rd September 2019
Dear Sir /Madam,

Ref :Mr Henry O'Keefe, DOB: 2nd February 1925[convert DOB to age]
Mr O'Keefe who is recovering from malignant melanoma of the left shoulder requires
home visits by the Aged Care [no need to remind them that they are Aged Care
Team] your assessment team to assess and arrange appropriate care needed for his
daily living.
● Intelligently planned!
● Wait a second!
● Sorry! Let’s move on!
Mr Henry had a surgery on 14th March 2008 to remove the [Attention! You are
referring to “lesion” for the first time so you cannot use a “the” here.] large lesion
and got discharged on 17th of March. He was referred to our centre for personal care
and wound dressing prior to the removal of sutures at Mater Public Hospital on 24th
March. He had achieved a good progress in wound healing with daily dressing.
● One more thing!

● When the date of birth is given, make a rough calculation and find out the
age!
● Above, 1925
● It is going to be 2025
● Just deduct 6 years
● You get the age.
● It is always better to write “age” if you are good at maths. If not, try not!
● Next?
● Ready!
Mr [for English speakers, Mr or Ms or Mrs is very important.] Henry lives with his
wife in a housing commission home and the couple receives aged pension pension for
the aged[think of this next time]. His wife, Dorothy, is concerned about his memory
loss. Even though the their neighbors are helping them with household activities,
Dorothy says that it is difficult to manage house and garden by herself . The house is
disorganized and the bathroom and kitchen remains [when subject is more than 1,
use no S verbs] remain unclean. Kindly note that my role in providing nursing care
will end up with the suture removal on 24th March[wonderful line!!!]. My main
concern is about the couples [apostrophe missing] couple’s capability to take care of
themselves along with the housekeeping.
● The last lines show how “concerned” you are!

● This is what I mean by “language from within”

● Get ready to join my upcoming “OET in 30 Days” to build up this “language

from within!
● Next
In view of the above circumstances[,] it would be greatly appreciated if you could

arrange a home visit to assess their eligibility and arrange further assistance for this
elderly couple.
● Wonderful!
● Giving me surprises!
● Score 350 Crossed!
● Jintu, keep this up! May God pass you out!
● Next correction after 30 minutes!
● Take a break!
Please do not hesitate to contact me if you have any queries about this old aged
gentleman.
Yours Sincerely
Registered Nurse
Blue Skies Home Nursing Centre.
telegram group.
LETTER 10
28 September, 2019
● Dear new comers, attention please!

● When you get a case note, rad it fast and find out the following elements:
○ To whom are you writing this letter
○ Is it a referral, advice, discharge letter (there are others, too)
○ Find the purpose of the letter. Include that in the first paragraph.
○ Then move on to the second para and write two details
■ Admission of the patient + date + symptoms, etc
■ Primary check up, assessment, vitals, bp, glucose levels,
etc
○ In the next para, write about the treatment the patient received
and the medication
○ In the next, mention his discharge plans after discharge
○ Then proceed to his social history (not in a letter to a doctor)
○ Then write more about your request.

○ Give your contact details in case the recipient (doctor, nurse,

physio, etc) needs to contact you
○ Finally,
○ Yours sincerely
○ Your name / designation
○ Let’s now start the correction of this letter.
Emergency Doctor
Newtown Hospital
Corner Street
Newtown 1104
Ref: Ms Patricia Styles, 63 years
Dear Doctor
I am writing to request your [it is not “your” assessment. This means the recipient’s
(the doctor’s) assessment!] urgent assessment and management for Ms Styles whose
signs and symptoms are suspected suggestive of pericarditis.
● Seems like you are mixing up borrowed words and phrases!

● Always write from your own English!
● Some people do not trust themselves so they trust “broken pieces” of
letters from other sources.
● Try to write your own language!
● Next
Today, during a home visit, Ms Styles appeared unwell, was complaining of fatigue,
chest pain and SOB. Please note, she was feeling better while in sitting position. On
examination, she was tachycardic, tachypneic, hypertensive as well as [Listen! Say
good bye to “as well as” and “Hence” from your letters] and had mild fever.
● Next!
● Please follow my cursor movements!
Earlier this month on 4th, she [remember! Write the patient’s name at the starting of
each paragraph!] Ms Styles was admitted in Green Valley Hospital due to the above
mentioned symptoms. Hence,[Hence is a midway connector, not a starter] She was
monitored regularly for sugar and BP and her blood investigations showed elevated
ESR and creatine. However, but [Both, however and But are used if the present
sentence is opposite to the previous sentence! Look! Both sentences are of the same
nature! I shall explain below:] her platelets level was low. Oral swab throat was taken
which revealed type B-influenza. In addition to these, her ECG performed that's [no

need to write ECG was performed because we cannot get the report (revealed)
without performing ECG!] revealed pericarditis. Therefore, she was conservatively
managed with IV saline and antibiotics.
● Prev Sentence - She was monitored regularly for sugar and BP and her
blood investigations showed elevated ESR and creatine… (Negative - not
normal)
● Current Sentence - Her platelets level was low. (Negative - not normal)
● When such sentences need to be combined, use “and” or similar “addition”
connectors.
● Am I explaining well? If you feel like you understand me, let me know now.
Please go to telegram and say how much you understand. I should know
● 1/5 or ⅖ or ⅗… Please
● I am waiting… Speak honestly!
● Ready! Please go back!
● Next!
From a social and medical point of view, Ms Styles lives alone after her husband's
death and [we cannot include these elements in the same sentence because they are
far apart and different. Full stop after “death.”]. She has been suffering from
hypertension from[replace since with from] 2012 , diabetes mellitus from 2009 for
which she is on Carpinol 6.25 mg, Metformin 500 mg and Gliclazide 10mg. Worthy
to note, she has been diagnosed for depression since her husband's expiry and to
manage her mood swings she takes medical counselling. Please take a note, her
cousins helps [“cousins” is plural so do not use a verb that has S - like, has, is, does,
lives, was, etc] help her at times.
● At times, you write well!

● Next
Based on the above information, your immediate assessment and management would
be highly beneficial for this aged lady.
Should you have any queries, please do not hesitate to contact me.
Yours faithfully
Charge Nurse
● Score - 310/20
● Need to improve!
● I like your tenacity!
● Next live will commence in 2 minutes!

LETTER 11
26 September 2019
Community Nurse
Community Health Centre
Woodville
● Before you start the letter, ask 5 questions!

○ Who is the recipient
○ What is the purpose?
○ What is the tricky element here
○ What is not relevant here?
○ What is my role in this!
● Let’s start correction now!
Ref: Ms Monica Osburn, 69 years
Dear Nurse,
This letter will accompany Ms Osburn who requires continued care from your service
after relocating to Woodville.
● Good!
Ms Osburn has had hypertension and depression for 10 years and 2 years
respectively for which she takes anti-hypertensive and anti-depressants. She has
periodic problems with self administration of medication. So kindly monitor her
adherence to medication regularly.
● It is a little different kind of starting.

● “So, kindly…” It is okay but be careful with “new styles”
● Also, much of medical history is included in the opening para.
● This is purpose paragraph.
● Although purpose is here, med his is more.
● Next
Divorced / A divorcee and mother of a daughter, Ms Osburn lives alone in a rented

house. When she gets anxious, she takes alcohol in excess. Thus, it would be
beneficial if you could monitor her alcohol intake.

● Next!
In view of the above information, it would be greatly appreciated if you could monitor
Ms Osburn's diet. Kindly establish contact with a medical practitioner after her move
to Woodville and encourage her to mingle with family and in social activities.
Yours sincerely,
Registered Nurse
● Score 330+ or 340

● Only grammar errors.
REPHRASED
26 September 2019
Community Nurse
Woodville
Dear Nurse,
Ms Osburn has had hypertension and depression for 10 years and 2 years
respectively for which she takes anti-hypertensive and anti-depressants. She has
periodic problems with self administration of medication. So kindly monitor her
adherence to medication regularly.
A divorcee and mother of a daughter, Ms Osburn lives alone in a rented house. When
she gets anxious, she takes alcohol in excess. Thus, it would be beneficial if you could
monitor her alcohol intake.
In view of the above information, it would be greatly appreciated if you could monitor
Ms Osburn's diet. Kindly establish contact with a medical practitioner after her move
to Woodville and encourage her to mingle with family and in social activities.

Yours sincerely,
Registered Nurse
LETTER 12
14 April 2018
Emergency Doctor
Newton Hospital
Corner Street
Newton-1104
Ref: Ms Patricia Styles, 63 years
Dear Doctor,
This letter will furnish an account of Ms Styles who requires an urgent assessment
and management of her pericarditis.
Today, during home visit[comma missing!] Ms Styles was found to be unwell,

[something missing here] in fatigue along with chest pain and shortness of breath.
Off note, her shortness of breath became deteriorated in other position except while
sitting. On examination, her vital signs showed mild temperature, heart rate 122,
respiratory rate 28 and blood pressure 180/90mmHg, which shows the suggestive
symptoms of the complications of pericarditis [no need of Caps for common names
of diseases].
On the 7th of the month, Ms Styles was admitted to Green Valley Hospital with the
aforementioned symptoms. Whilst hospitalisation, her blood sugar was monitored
regularly. Her blood investigations showed elevated ESR, creatinine and [before this
there are two ups and after this there is a down] but dropped level of platelets. Oral
throat swab was taken and it was positive for Type B influenza. Besides, her
echocardiogram [wise! You didn’t write “ECG!” which would have been confusing!]
revealed the diagnosis of pericarditis. Consequently, she was managed with
antibiotics and saline intravenously and she was discharged on the 9th of this month.
● Nice to see that you are closely following my guidances!

● Next
A widow [Great!], Ms Styles has no [close] relatives except for her cousin who
sometimes helps her. She has been diabetic and hypertensive since 2009 and 2012
respectively and she is on Carpinol 6.25, Metformin 500mg, twice daily and Glipizide
10mh once daily. In addition [always write In addition to this / these] to these, she

was diagnosed with depression in 2015, after her husbands [apostrophe missing]
husband’s death. She attended [did you mean “attends” (now?)] medical counseling
for mood swings and for the management of diabetic [serious error] diabetes
mellitus.
● Impression dropped here. Score 340

● Next
Based on the above information, your immediate attention is appreciated so that an
appropriate treatment plan can be initiated to manage Ms Styles [‘ missing] Styles’
condition.
Yours sincerely,
Home Nurse.
● Score 340+
● If you can get rid of grammar errors, you can come very close to 350
● Next correction commences shortly
LETTER 13
24 July 2018
Admission Officer
Cabrini Hopetoun Rehabilitation
2-6 Hopetoun Street
Elsternwick Vic 3185
Ref: Mr Juliam McDonalds, 68 years
● Ready!
● Remember, we are writing to rehab!
● Remember what to write and what not!
● Get ready!
Dear Sir/Madam
This letter will accompany [Good! This “accompany” style is ideal for a letter when
the patient is sent away!] Mr McDonald who is being transferred to your facility for
immediate rehabilitation care. He is recuperating from knee surgery.

● Next para!
Mr McDonald was admitted to our facility on 20 July[you are in the same month!] of
this month for total knee joint replacement. His postoperative period was significant
due to severe postoperative pain requiring a number of analgesics. Despite adequate
analgesia[a comma here!], Mr McDonald was slow to mobilize and experienced
difficulty in urination caused by amitriptyline so it was discontinued. We noted signs
consistent with sleep apnoea. His discharge medicines are Zyloric, Lipitor, Karvina,
Mogadon, Paracetamol, Ibuprofen, Nicabate, Targin and Oxycodone[Hope you know
when we write Caps for medicine name - for brands, Caps, for individual names, use
small letters to begin!]. Please see the attached list for frequency and dosage of his
medicines.
● The assessor will not check beyond this point… because…. It is already 360+
● Let’s see how it is going to end!
● Next
Mr McDonald has a history of osteoarthritis for 10 years and gout since 2010. He is
hypertensive with hypocholesteraemia. He smokes and drinks alcohol in excess and
his BMI is indicative of obesity.
● Good!
It would be greatly appreciated if you could provide rehabilitation for Mr McDonald

that includes physiotherapy and occupational therapy. Kindly ensure his physical
fitness to resume his job and social work at caravan [you can write here, either in a
bracket or after a comma, why he is working in a caravan. Optional but that will
enhance style and score!]. It is worth noting that his sutures are to be removed on
30 July and an appointment has been made to see Mr B Mossely on 7 September. It
would be beneficial if you could arrange for sleep study for Mr Donald and take note
that he needs counselling for lifestyle modifications.
● Super!
I would like to thank you for accepting [for “thanking,” make sure that there is a
mention in the case note that the recipient has already agreed to accept this case]
this elderly gentleman and please do not hesitate to contact me for further queries.
Yours sincerely
Nurse
● Score 360+

● Flawless! Participants, please read all the corrected letters below this point!
● Next correction will commence after a while.
LETTER 14
26 September 2019
Community Nurse
Woodville
Dear Nurse,
Divorced, Ms Osburn lives alone in a rented house and drinks alcohol in excess
whenever she gets anxious[it gives the impression this lady lives only to drink!!
Remove this part and place elsewhere]. She has had hypertension and depression for
10 years and 2 years respectively for which she takes anti-hypertensive and
anti-depressants. But [can’t start a sentence with but, hence, and, etc], she has
periodic problems with self administration of medication. Owing to these reasons,
her daughter wants her to move to Woodville which is closer to her [“her” is
confusing. Here you can use either of the two words - “former” or “latter”] the latter.
● Again, we use “but” and “However” between two opposite sentences.
● Above, the sentence on both sides of “but” are of the same kind (negative).
● Just write that sentence without any connector!
● Next
Based on the above aforementioned [both words mean the same] information, it
would be greatly appreciated if you could monitor Ms Osburn's adherence to
medication, alcohol intake and diet. Kindly establish contact with a medical
practitioner after move and encourage her to involve in social activities and
expansion of family[“expansion of family” has confusing meaning. Please find a
better expression there].
Yours sincerely,
Registered Nurse
● End of tonight’s corrections.

● Good night!!!
LETTER 15
Local Maternal and Child Health Nurse

Greenville Maternal and Child Health Center
Main Rd - Greenville
22 March 2010
Dear Sir /Madam,
Ref: Ann Ballard, 22 months old
● Please closely follow my cursor!

● Next
Ann Ballard needs follow-up care and support from your facility following her
discharge today. She is recuperating from second degree burns of the right trunk and
arm.
● Next
Ann was admitted to the hospital on 16 March 2010 with second-degree burns due to
accidental scalding with hot water. During hospitalization, initially, she was managed
with IV fluids for 24 hours which w koas then changed to oral fluids. Her treatment
was commenced on prophylactic antibiotic and analgesics. Also, she received
silvazine dressings to the affected area two times daily.
● Next!
Ann lives with her mother Ms Christine, now separated from her husband 4 months
ago. She{this will confuse the reader. As Ann’s mother is mentioned before this point,
“She” points to Ann’s mother] Legally, Ann and her elder brother spend alternate
days with her father. Her mother seems to be depressed may be due to financial
problems following this separation and lack of social support. Her mother was
referred to hospital social worker.
● Need to improve!
● Next
Kindly provide daily silvazine dressings to maintain Ann's skin integrity. It is
important to monitor her mother’s mental status and introduce her to local support

groups such as Mothers Group or Local Childcare Center. Please note that she has an
appointment with a local financial counsellor.
Please do not hesitate to contact me for further information.
Yours sincerely,
Charge Nurse
● All elements are here.

● All relevant
● Organization is good
● Grammar is okay
● Score 340
● Next correction commences in 1 minute, above!
LETTER 16
● Today’s last correction
● Let’s start
Ms Georgine Ponsford
Resident Community Nurse
Community Retirement Home
103 light Street Newtown
11 February 2017
Dear Sir/Madam,
Ref: Mr Lionel Ramamurthy, aged 63 years
● Do not use “aged”

● Next
The purpose of this letter is to update the health status of Mr Ramamurthy as he
needs continued care following his discharge today. He is treated for pneumonia.
● Good! Let’s proceed to the next paragraph!
As you are aware that,[no need of that comma!!] Mr Ramamurthy was admitted to
the hospital with fever, breathing problems, rigors and sleeplessness [+] and
subsequently, he was diagnosed with pneumonia. Initially, he needed assistance in
personal care and had shortness of breath on exertion.
● Going well!

● Next
During hospitalization, Mr Ramamurthy was recommended to take proper nutrition

and increase the amount of oral fluids. He was encouraged to do chest physiotherapy
such along with as deep breathing and coughing exercises. He was advised to sit
instead of lying down to ensure postural drainage. Please note, he was found to be
ambulant as per the review of physiotherapist.
● Next!
On subsequent days Mr Ramamurthy's health progressed well. He got relief from

fever and his inflammatory markers are back to normal now. Although he is able to
do personal care independently [+] he has chest and abdominal pain along with dry
cough. He has an improvement in his weight which was less due to his poor diet.
● Still those grammar errors.

● Lesser than earlier!
● Next
Kindly provide continued care to improve Mr Ramamurthy's health. Please administer

paracetamol if necessary for chest and abdominal pain. Kindly keep him warm. He
needs good nutrition along with increased fluid intake, as per his dietician’s advice.
● Score 330+
● No remarkable errors except grammar!
● All corrections are done
● Good Night!
Yours Sincerely,
Charge Nurse
LETTER 17
Dr Travis Wrenn
General Practitioner
Punt Road Medical Clinic
172 Punt Road
Mosman, 2088
17 January, 2018
Dear Dr Wrenn,

Ref: Miss Cassandra Kinser, 32 years
I am writing to refer Miss Kinser, a known case of yours, who has been treated for
lacerated lip and urinary tract infection. She requires further care and management
following her discharge.
● Good!
● The purpose part is exactly correct!
● Hope you all know that if purpose is almost okay, you score 2/10
● Next
Miss Kinser presented to the [OET official grammar expert Rebecca said recently
said we should not use “the” with “hospital. Although that is not exactly correct, we
should follow Rebecca] hospital with complaints of abdominal pain and burning
micturation for the last several days. On assessment, a lacerated wound was noted
on her lips which was alleged assault by her boyfriend for which she did not seek any
medical help. Consequently, her treatment was commenced with cipro 500mg,
clindamycin 300mg,[no need of this comma] and oxycodone one tablet daily along
with peridex mouthwash after meals and before bed. She is sexually active and does
not use any protection.
● Next!
Upon discharge, it would be beneficial if you could assess and provide appropriate
treatment for Miss Kinser’s condition as you deemed appropriate. Kindly monitor her
adherence with medication including that includes antibiotics. Please note, in case
her urine appears infected you may treat her for urinary tract infection. Apart from
this, a follow-up appointment is scheduled at sexual health clinic for suspected STDs.
● Well written
All pertinent documents are attached with this for your reference. If you have any
queries, please do not hesitate to contact me.
● Purpose 350
● Content completion 350
● Grammar 350
● Org 350
● Flow of language 350
● Overall 350+
● Great!
● Next correction in 1 minute!

●
Yours sincerely,
Registered Nurse
LETTER 18
12 February, 2012
The Nursing Unit Manager

Rehabilitation Center
Waterford
Dear Nurse,
Ref: Ms Berley Casey, 72 years

● Remember, grammar errors cuts the marks of Indian students!
● Can’t believe? Should believe!
● I will explain later.
● Let’s start!
Ms Berley Casey underwent left hemiarthroplasty for the left femur fracture. She will
be discharged to your service for rehabilitation therapy.
● Use “the” with body parts.

● Do not use “the” with diseases and processes that have body parts.
○ Correct - Femur fracture
○ Incorrect - The femur fracture
● Next
Post-operatively, she [who is she? Use the patient’s name at the start of every para]
Ms Casey received three units of packed RBCs. Although the the patient[shouldn’t
write words like “patient” “case” “as well as” in OET. It is official now!] was
stabilized with intravenous antibiotics, [+] she had developed hypotension, for which
ramipril’s dose was reduced to 5mg. Ms Casey was initiated [always remember, this
is incorrect. Scroll down and see my explanation under this paragraph now!] with
daily dressing. Her drains as well as [let’s forget “as well as” in writing] alternate
staples were removed. On the following days, she started to walk with pick-up frame
[+] yet presently she needs assistance for her mobility. Worthy to note, an abduction
pillow was provided while resting. [Next paragraph!]
● Medicine + was prescribed

○ What was prescribed?

○ Medicine
● CT + was performed
○ What was performed?
○ CT
● Ms Casey was initiated + daily dressing (Incorrect)
○ What was initiated?
○ Ms Casey
● Daily dressing was initiated (Correct)
○ What was initiated?
○ Daily dressing!!
● She was commenced with warfarin 20 mg. (Incorrect)
○ What was commenced?
○ She
● Warfarin was commenced (Correct
○ What was commenced?
○ Warfarin?
● Hope this is clear now!
● Let’s go back!
MsCasey is a widow and lives alone[/]. A widow, Ms Casey lives alone[copy this
style!]. She has a history of hypertension and she was treated with ramipril 10 mg.
● Next
Ms Casey requires monitoring for her blood pressure two times per day for 3 days a
week for adjusting her antihypertensive medication. Her discharge medications are
ramipril 5 mg daily and paracetamol every evening. It is important that her family to
be notified about her transfer and for which the hospital will arrange ambulance at
11.00 hrs. Kindly monitor her haemoglobin level on the following day of transfer.
Please note, Ms Casey needs to be encouraged to use antiembolic stockings for 14
days and her staples should be removed on the 10 th day of the surgery. In addition
to this, her wound should be keep kept exposed to the air.
● Judith, look!
● When you miss words, you miss so much!
● This shows that you have a little absent mindedness.
● Do not allow your mind take a break when your pencil is ready!
● Also, improve your passive voice
● Otherwise, grammar is beautiful!
● All the best
● Score 320+ 330
● The only way is reduce grammar errors

● I am sure tomorrow you will score 340+

● We are all waiting for that.
● Next correction in 2 minutes
● Scroll up!
Yours sincerely,
Charge Nurse
LETTER 19
Dr Miriam Shah
Consultant Obstetrician
Royal Hospital
Lowtown
06/04/2019
● Rebecca said this date format is incorrect.

● “06th April 2019”
● Next
● Resumed!Please follow my cursor!
Dear Dr Shah
Re: Mrs Olivia Hawthorne, aged 40 years
● Members, listen!
● Red - Incorrect
● Orange - Not recommended
● Green - Words I add
● [suggestions / comments]
● [+] Combine two words / sentences
● [-] separate two sentences
● Next
Mrs Hawthorne, a G3P2 woman who [no need of “who”] requires further
investigation and an ultrasound as she had unsuccessful attempt of intrauterine
device removal.
● Next paragraph!

On 2nd April, Mrs Hawthrone presented with complaints of excessive painful

menstruation, increased greasiness of skin and hairiness along with in addition to
menstrual spotting for the previous 3 months. Consequently, she was scheduled for
IUD removal as it has [has is present] had b een ineffective for menorrhagia. Today
she had several attempts to locate the strings of IUD which is suspected to have
fallen out or shifted to another location. She forgot herself was not able to remember
the location. Therefore pregnancy test was performed that resulted negative.
● Next!
● Wait a second. Something is not right today!
● Let’s start!
Mrs Hawthrone had cerazette and combined pill cilest for menorrhagia and
dysmenorrhea which was discontinued due to her pregnancy. Later, she had
experienced relapse of menorrhagia for that reason IUD mirena coil was inserted in
2015.
● That was good!

● Next
It would be greatly appreciated If you could conduct an ultrasound for Mrs

Hawthrone to determine the strings of IUD. Please note that she has a prescription
of ferrous sulphate 2OO mg daily for Iron deficiency anaemia.
If you have any queries, please do not hesitate to contact me.
Yours sincerely,
Registered Nurse
● Score - 330
● Good one.
● Next correction starts in 1 minute
LETTER 20
The Gynaecological Registrar
Spirit Hospital
South Brisbane
16 February, 2013
Dear Doctor,

Ref: Miss Cathy Jones, 25 years
Miss Jones is exhibiting features that are compatible with possible ectopic
pregnancy. She requires urgent attention and care at your facility.
Miss Jones presented at the clinic yesterday with the complaint of non-specific lower
tummy pain. During her abdominal examination[comma required] it was noticed that
she had mild abdominal tenderness mainly in the lower iliac fossa. Therefore, I
advised Miss Jones to come tomorrow for further investigations and re-evaluation.
● You can improve the quality by writing the last sentence in passive voice.
● “For this, Miss Jones was advised to come….”
● Next
On review today, MrS Jones came back with worsening of the above-mentioned
symptom along with mild vagnial bleeding and lightheadedness. On examination, her
BP was found to be 110/70 and her abdominal examination revealed that she has
severe right iliac fossa tenderness which is concomitant with guarding and positive
rebound tenderness. Beside that, vaginal examination showed profound tenderness in
the right fornix. Miss Jones [needs apostrophe here] Jones’ [if a noun ends in S
(Alice, Jesus, Moses, Williams) put the apostrophe after S but no more s after that]
pregnancy test was positive and she has [past tense] had negative urine dipstick
test.
● Next!
It is worth noting that Miss Jones has been suffering from irregular cycle for the last
two months for which she takes POP. Also, she has a new partner relationship [both
mean the same] over the last few weeks.
● Next
Given the above details, I believe that Miss Jones needs your urgent assessment and
management at your service.
● Please make sure that the “request” sentence above is not a repetition of
the “purpose” sentence in the first para!
Yours Faithfully,

Dr Sally Brown
General practitioner.
● Score 330+
● Please make a list of your errors!
● God Bless!
● Next correction commences in 2 minutes!
LETTER 21
10 September, 2012
Mrs Emmini James

Mental health Social Worker
Sydney Process Counselling and Therapy,
6 Russel St. - Sydney, NSW 2000
Ref: Mr Mathew Philip, D.O.B:29 June,1962
● Westerners and Australians are very “punctilious” people.

● Means, they do not do any adjustment with anything that Asians consider
“silly”, like a space after a word, space after a comma or full stop, like
capital letters.
● Please consider improving your handwriting
● “You write but someone else is going to read!”
● Let’s start!
Dear Mrs James,
This letter will furnish an account of Mr Philip who has been suffering from various
psychiatric disorders. He requires therapeutic counselling sessions at your facility to
recover from his present disease condition.
● The letters below are “deep” corrected. You should read them carefully!
● Next
Mr Philip has been suffering from severe depression and anxiety disorder since 2006
for which he was [no need of passive.] undergone electroconvulsive therapy and
commenced with antidepressants medications. The treatment was unsuccessful.
Besides, he has suicidal thoughts and does not meet the public mental health
eligibility criteria so he was reviewed by a private psychiatrist.

● Not many serious errors.

● Next
An ex-smoker, Mr Philip drinks alcohol once weekly. He is married and has a

supportive wife. He has a son who has down syndrome [no need to capitalize the first
letters] and lives permanently in a disability centre and his daughter works in
military service. He has no contact with his family members. He and his wife are
looking for early retirement and have applied for disability support pension.
● Next!
In view of the circumstances above, it would be greatly beneficial if you could

provide necessary management deemed as appropriate. Kindly encourage them to
participate in community services.
Please feel free to contact me for any further information about him this elderly
gentleman.
Yours sincerelY
Charge Nurse
● Score - 320+ or 330+

● Next correction shortly!
LETTER 22
Ms Rachel Anderson
Community Nursing Service
● Today, think about your handwriting

● If your handwriting is not legible, you are simply wasting too much money
and time.
● Let’s start now!
18 September 2007
Dear Madam,
Ref: Ms Jane Robinson, 19 years
Ms Robinson who [read it again without “who”] needs further assessment and
support from your provision as she has adjustment problems after delivery of her
baby [that is repetition! We deliver only babies. OET hates repetition!]. She is on the
[with “first” “second” etc, use “the”] eight postpartum day.

● Next. Need to go deeper.

● Participants, this is not your letter but these errors are mostly yours too.
● So, consider these errors very seriously!
Ms Robinson gave birth to a healthy baby boy through uncompleted vaginal delivery
and breast feeding initiated soon after the delivery[the idea is repeated].
Therefore[“therefore” means, “as a result of the previous sentence”. Here, see, the
current sentence is not the “result” so avoid “therefore”], [Let’s use “Although” and
start the next sentence] Although she was discharged on the second postpartum day,
she has [use past tense] had adjustment problems due to poor coping with new
situations and she is now [slowly we drifted to present tense] concerned about
caring for the baby alone. Yesterday, her child was pale and lethargic. Child has
[incorrect word] takes decreased breastfeeding, diarrhoea and weight loss. In
addition to this[a comma here] [,] the [when the patient has no name, use “the”]
baby has dry skin and excoriated buttoeks.
● See the beauty of grammar!

● Could anyone see the beauty or its ugliness?
● Learn grammar and joining this live correction is the best way!
● Next paragraph!
● Let’s start
Socially, Ms Robinson [verb is missing] is separated from her husband and lives
alone here where she has recently moved to. She has no relatives or friends to offer
help. A restaurant manager, she working [cannot use -ing with “habitual actions”]
works for long hours during the day time.
● He lives alone (Correct)

● He is living alone (Incorrect)
● She loves garlic paste ©
● She is loving garlic paste (IC)
● Next
Kindly provide necessary assessment and support for Ms Robinson [+] please and
arrange a mental health nurse as she needs mental and emotional assessment.
Kindly monitor [“the”] child's general health [+] Please and arrange assistance for
domiciliary care.
● [+] means, “let’s combine”

Yours Sincerely,
Charge Nurse
● Grammar errors.
● Score 310.
● The only way to crack OET is learning grammar.
● Most institutes pay no attention to grammar because with grammar you will
take a year to complete!
● Why risk your money and waste time!
● Join my OET in 30 days program that is set to start from Oct 15
● Next correction will start after 10 minutes
● Please stay around!
● Scroll up!
LETTER 23
5 APRIL 2012
● This correction is doing a detailed editing. No comments will be added!
Ms Susan Williams
The hospital Social Worker
Dear Ms Williams,
Ref: Mr Yanlin Ma, 32 years
This letter will furnish an account of Mr Ma who has been recuperating from an
emergency cardiac surgery. As he is an international student from China[,] he
requires assistance and support from your service. He is scheduled to be discharged
on 9 th of this month.
● Comment is necessary.
● “As he is” gives the impression that if a student is from China, he requires
assistance…
● Just remove “As”
● This is what OET says, “Do not use connectors (when not needed)
● Next
A scholarship student for Master[s] in Information Technology, Mr Ma lives in a

rental accommodation. Presently his mother came from China to take care of him
and she does not speak [E]nglish. He smokes 5 to 6 cigarettes per day and is obese
with a weight of 105 kg and height, 182 cm.

● Please read the para along the errors!

● Next
Mr Ma was admitted to the hospital with the complaints of severe chest and back
pain. CT and ECG confirmed the diagnosis as aortic valve incompetence. Following
this, he underwent surgery successfully.
● Dear members, if you have not booked your exams, please wait for
November or Dec.
● I am officially starting “OET in 30 Days” program in two weeks’ time
● After completing the 30 days if you write the exam you have many times
more chances of passing OET
● Do not take risks! Take 30 days OET!
● Let’s proceed!
It would be greatly appreciated if you could assist him [use name] Mr Ma to write a
letter to his university as he is unable to complete his semester’s assessment on
time along with a letter to imigration department that his visa is going to expire at
the end of this semester[in the case notes, there is no mention that Mr Ma should
write the letters. The social worker has to do that]. Moreover, please encourage him
to participate in smoking cessation and weight reduction program for which referral
has to be given. Worthy to note, please assist him regarding his accommodation as
his lease agreement has recently expired.
● Good!
If you require any other information about Mr Ma, nothing should stop you from
contacting me.
Yours sincerely,
Nurse.
● Score 330+ or 340 (If the assessor failed to note the irregularity I pointed
out)
● All correction for tonight are done.
● All the best
● Have dreams of passing and flying to your dream countries
● Do not forget that the country of your birth is also a good place
● Good night!

LETTER 24
Dr B Comber
Urologist
Southport Hospital
Gold Coast
● It is a medicine case note!

● Will help everyone. The writer is already B!
● Please join!
● Dr Ahmed, here we go!
1 January, 2010
Dear Dr Comber
Ref: Mr Tom Cribb
Mr Cribb presented with the right kidney mass. He requires an expert assessment
and further investigations at your facility.
● Sometimes sentences may be shorter but they should be written separately!

● Next
Mr Cribb presented at the clinic on 12 of the last month with symptoms suggestive of
ureteric stone for which he commenced treatment on diclofenac sodium suppository
and was advised to drink plenty of water. Besides that, some investigations in the
form of IVP & UFR were recommended. Two days later, Mr Cribb showed
symptomatic improvement in his condition. However, the IVP result reported that he
had enlarged right kidney and the UFR test demonstrated some few red cells in his
urine. As a result of that, I suggested abdominal ultrasound for Mr Cribb.
● What should I say?

● The best student so far!
● So clean, Doctor!
● Next
Today, Mr Cribb came back with mild tummy pain. His abdominal examination
asserted that he has a hard mass in his right lower abdominal part and his the [I
know why you used “the” because I said we need to use the before body parts.
However, when there is a “his/her/my/their/its” no need of “the”] right kidney is
located below to the normal site. Also, his BP was found to be 140/90.
Unfortunately[warning! OET’s Rebecca doesn’t like certain terms like, “unfortunately,

sadly, regrettably, case, and patient” Beware of HER!], the ultrasound result showed
that he has a severe right hydronephrosis due to a mass which may attach to the
liver.
● Good! Next
Given the above details, I believe that Mr Cribb needs further evaluation and he
might require abdominal CT at your service.
Yours Sincerely
Dr xx
● Score 340++ or 360 (If the assessor is grammar-blind!)

● All the best!
● Next correction commences immediately!
● Please scroll up
LETTER 25
The District Nurse
District Nursing Centre
Lake Park
19 March,2010
Dear Sir/Madam,
Ref: Mr Andrew O'Connor,74 years
I am writing to furnish an account of Mr O'Connor who has right sided hemiplegia

secondary to left sided cerebrovascular accident. He is scheduled to be discharged in
three days time so he requires assistance and supportive care from your service.
A retired bookkeeper, Mr O'Connor has two children and he lives in a family home
with his elderly [we know that a 74 year old man’s wife is elderly! No need to
mention that] wife Mary who has angina.
Mr O'Connor was admitted to the hospital on the 2nd of December last year with
the above mentioned condition [“which was”] managed accordingly. Overall, he made
a moderate progress even though he underwent [no need of “even though” here]
with an [no need of “an”] intensive physiotherapy and occupational therapy. He has a
better mobility with support. Now he is ready for discharge and his family wanted

[why “wanted” (past tense?)] wants to continue the care at his home but he still
needs assistance in some activities of his daily living. Therefore, his home was
assessed and modified according to his special needs and with regards to his
disabilities.
● Next!
In the light of the above, it would be greatly appreciated if you could visit Mr
O'Connor twice a day and assist him with ambulation and hygienic needs. Kindly
monitor his medication intake and how the family manages with Mr O'Connor him at
home[a comma before “especially”], especially in view of his wife's health. Please
note that he can be referred to the hospital for reassessment if needed.
● Next!
All the pertinent details regarding his medical history and medication chart obtained
during his confinement will be forwarded by the medical officer.
Should you require further information, please do not hesitate to contact me.
Yours sincerely,
Registered Nurse
Rehabilitation Hospital
● Score - 340/
● Next correction in a minute!
LETTER 26
Ms Susan Bates
Senior Nurse
Rina Nursing Home
19-21 Victoria Street
Ashfield - NSW 2131
9th September 2009
Dear Ms Bates,
Ref: Mr Benjamin, 63 years
This is to update information about Mr Benjamin who underwent a total hip

replacement surgery and is a known case of hypertension. He requires ongoing care
and assistance from your service as he is being transferred back to your care.

● Good! Next.
Post operatively Mr Benjamin had an episode of disorientation and a drop of

hemoglobin level due to the effects of anesthesia. For that reason three units of
packed red blood cells was infused and consequently he achieved reached an
adequate level of hemoglobin by the time of discharge. He was also provided with
daily dressing and regular exercise was recommended. Presently he is able to walk
with a wheelie-walker.
● Some passive voice issue!

● Next!
As per the his discharge plan, Mr Benjamin needs to be provided with recommended
regular post operative exercises which may require equipment such as a wheelie
walker, wedge pillow and a toilet raiser. A wheelie walker which is provided by the
hospital will be sent along with the patient but a toilet raiser will be hired for two
weeks with the help of a local medical supplier. He can be provided with take
panadeine forte in case of pain but not to give more than 6 tablets a day.
● Good!
● Minimal errors!
● Take note of the errors!
Your involvement in the continuous care of Mr Benjamin will be highly appreciated.

Kindly make sure that the patient is [do not use words like “patient” and “case”.
Rebecca doesn’t like them!] this elderly gentleman adheres with his regular
medication. Please feel free to contact me if you have any queries.
Thanking you
The Charge Nurse

Care Well Hospital.
● Score 330+
● Grammar! That matters the most!
● Next correction starts in a minute!
telegram group.

LETTER 27
Ms Physiotherapy Centre
588 Hay Street Subiaco
(08) 93882877
19th July 2011
Dear Sir/Madam
Ref: Mr Stephen Mabel DOB- 18th June 1972
Mr Mabel is being recumberated [wrong word? Did you mean “recuperated?”] from
the knee injury followed by [“following”] a fall. He requires an expert home care
physiotherapy to enhance his mobility.
● Ready
● Next
An accountant by profession, Mr Mabel staying [“lives”] with his wife Sandra. Mr
Mabel [no need to repeat!] He had experienced a cerebrovascular accident two years
ago. Despite the fact that he is mentally active, he [repeated “he”. Use name] Mr
Mabel had [had refers to the past] has slurred speech and balance impairment which
is accompanied by a limp with while he walks.
● Unusually more errors today!

● Please make a list of your errors! Learn well!
● Next
On 12th of this month, Mr Mabel fell down on the stairs due to intense headache
which resulted in right knee injury. A daily visit from our facility has been [is an
action starter and ended, do not use “has / has been”] was advised to provide proper
dressing and assistance in showering.
● That doesn’t become clear if “your facility has provided this daily visits!
● Next!
Three days later, Mr Mabel’s knee injury has [ no need to use “has” here] improved
significantly with no signs of infection. Apart from usual aches, Mr Mabel can [did
you mean “could”?] could walk little [incorrect word] shorter distances with the aid
of his wife.
● Please improve language skills.

● Please start 30 Days OET that will start from 1 of OCT.

● Next
Now Mr Mabel's knee healed properly and was he has been advised suggested to walk
with the a walking stick. Therefore, it would be greatly beneficial if u you could
provide a home visit in order to help him to facilitate his mobility.
If you require any other information about Mr Mabel, nothing should stop you from
contacting me.
Yours Sincerely
Registered Nurse
● Score!!! 310!
● You will improve from the next letter because you had a break!
● See you tomorrow!
● Next correction will commence after 10 minutes
telegram group.
LETTER 28
13 September, 2009
● Please scroll down!!!
The Director
Community Child Health Service
Brisbane 4010
Ref: Ms Guilia Donne, 4 September, 1991
Dear Sir/Madam,
This letter will furnish an account of Ms Donne who has undergone caesarean
section. She requires expert advice and assistance from your facility as her
discharge is due for today.
● Good!
● Sheeba, hope you are here!
Ms Donne has undergone the aforementioned surgery on the 9th of this month due to
fetal distress and failure to progress. Consequently, she gave birth to a male baby

with a weight of 4.4kg. Her postnatal period was normal with minimal blood loss. Her
haemoglobin was found to be 90g/L so her treatment was commenced on fefol and
vitamin C tablets and her wound has been healing well. However, [I added “However
+ , because the current sentence is negative and the prev sentence is positive] she
has no confidence in breastfeeding the baby even though she has started to
breastfeed which she wants to change to bottle feed.
● Well written!
● Next!
A sole parent benefits receiver, Ms Donne is single and has no contact with her
family members and [“the”] father of the child. Therefore, she is being
felt[“feeling”] isolated and unsecured [“insecure”]. Besides, she is ready to give her
baby for adoption as she has no confidence as a mother.
● Some of you very often use words slightly different from those given in the
case notes.
● “Insecure” and “unsecured” are totally different!
● Next
In view of the circumstances above, it would be greatly appreciated if you could

assist Ms Donne at her home and do the needful.
Please feel free to contact me if you need any further information about her [“this
desperate mother”].
● Note the last line.

● By adding such an “intimate description of the patient” you score a better
score.
● Next letter correction will start after 10 minutes!
● Please keep coming back!
Yours sincerely
Charge Nurse
telegram group.
LETTER 29
● As you know, this is a silent live correction.
● Please follow my cursor movements closely.

● Here we go!
24th September, 2019
The Director
Julia Farr Rehabilitation Centre
229 Fullerton Road _5097
● Keep in mind, the recipient of this letter is in a rehab centre.

● Let’s go!
Dear Sir /Madam,
Ref: Mr Alex Maydew, 23 years
● All good! Remember, the patient is a young man! Beware of this. Use “he”
● Next
This letter will introduce Mr Maydew who is recuperating from neurological injuries
followed by a car accident 10 months ago and he requires more appropriate care and
support for return to a normal health condition.
● Green - Words I add

● Red - Incorrect
● Orange - Not recommended / Needs review
● Violet - Suggestions / Comments
● ready!
After the accident, Mr Maydew went into a state of coma for 8 months. Initially, he
was [“he treated” means the patient treated someone!] treated at Royal Adelaide
Hospital and was [he was transferred means someone transferred him! This is
passive!] transferred to our hospital in an unconscious state 6 months [please check
if the calculation went wrong!] ago. Fortunately, Mr Maydew woken [“woken” is the
v3 form so it needs an H form (have/has/had)] woke from coma 2 months before [“2
months ago” / “before 2 months” See the difference] ago with normal brain function.
However, he failed to regain his speech facility [+] b ut [used “but” because on both
sides there are opposing facts (“failed vs independent”)] currently he is independent
to use a computer and wheelchair. He seems to be depressed in an aged care setting
other than that[cannot use that here] his mother, who is herself a nurse, also
believes that his recovery was delayed due to this environment setting.
● All done!
● Do not feel panicky, Jisha!

● These errors are your enemies

● Kill them with a smile!
● Next!
Mr Maydew was a third year student at the University of South Australia before the
accident[still he is but you chose the correct tense!!]. Besides, he was a keen
mountain climber and surfer. He lives with his mother and sister who are both
attentive and caring.
● Just sentence structure issues.

● Don’t worry, you do experiments and are bold!
● Go on!
In view of the above, it would be greatly appreciated if you could take over and
provide necessary care to the patient [OET doesn’t like the word “patient” and
“case” Beware!] this young student[this shows how close we feel about the
“patient”]. It is important to continue the [ no need to use “the” with anything that is
not mentioned earlier!] speech therapy and physiotherapy. Kindly make some
arrangements for continuation of online studies.
● How do you feel OET letters?

● Do not feel disheartened!
● Just continue for 10 days, you will improve!
● The end! Will resume later!
● Stay tuned to telegram!
Yours sincerely,
Registered Nurse
telegram group.
LETTER 30
13/September/2012
● Incorrect date format!

● “13th September, 2012” or “September 13, 2012”
● Next
The Director
Community Child Health Service

41 Vulture Street
West End - Brisbane, 410
● All good!
● Next
Dear Sir/Madam,
Re: Ms Nicole Smith, 18-year-old
● No need of hyphen (-) between 18, year, old

● Also, no need of “old” because 18 years means “old”
● Correct way of writing age is, “18 years”
● Next
Ms Nicole Smith had an emergency caesarean section for her first baby. She requires
a home visit to provide advice and assistance for her and her baby following their
discharge.
● Nice! Next
Ms Smith was admitted on 09/September/2012 due to labour contractions. She

underwent caesarean section due to fetal distress and failure to progress.
Post-operatively, the patient has [“had”] developed postpartum bleeding and her
haemoglobin is [cannot use is (present) because the action happened in the past]
was 90g/L. Therefore [no need to stop the sentence here], for which fefol and
vitamin C were commenced. She delivered a baby boy with a birth weight of 4.4kg.
The baby’s Apgar Score was satisfactory at birth[no need of “at birth” because Apgar
Score is marked at “birth”]. Ms Smith has started breastfeeding for [“the” = when
there is no proper-noun, use “the”, like, the mother of the baby; the father of the
child, etc] baby but not confident so she prefers bottle feeding. Please note, Ms
Smith’s post-operative wound is clean and dry.
● Please read the paragraph along with the corrections.

● Starting...
Ms Smith is married but [in European and other western countries, “and” is more
ideal for but] has no contact with the father of the child for the last six months. She
has no family members near her home and has no contact with them. She feels very
isolated and insecure. Therefore, [Therefore is correct here but it gives rise to
confusion. Is her doubting due to all the three reasons or just because of her
insecurity!] she doubts her ability to be a good mother and has talked about offering
[“the”] baby for adoption.

● Next!
Ms Smith requires a home visit [“from your facility”] to provide / for advice
regarding breastfeeding. Kindly provide an assistance for caring and bathing of the
baby. Please contact her on the phone number:(07)34413257.
Yours sincerely,
Charge Nurse
The Spirit Mother’s Hospital
Brisbane
● Score 320
● Need to focus on grammar and Relevance
END OF PART 1
telegram group.

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OVER 500 ERRORS ARE DISCUSSED.

READ THESE LETTERS ALONG WITH THE

LETTER 1 | SCORE 340

Mrs Christina Dakota

Re: Mrs Elma Edith, ​DOB​:19 February1967

● Weight loss (negative)

● Never begin a sentence with “Hence”

Ref: James Warden, DOB 05/07/32

On consultation today, Mr Warden presented with a new ​complaint​ of a lump in his

LETTER 3 | SCORE 380

Mrs Monica Kultan

Dear Mrs Kultan,

Ref: Mr Jake Peterson, 18 years

Mr Peterson,​[is that comma by mistake?]​ is a regular patient at my school clinic who

Initially, Mr Peterson presented to me on August 2013 with complaints of hair

Currently, due to Peterson's worsened condition he became distressed and found

LETTER 4 | SCORE 380

The Admitting Doctor

Ref: Mrs Betty Olsen, DOB: 29/01/1929

● Please try to convert DOB to age.

● You have included social part in purpose.

Herewith I have attached the details of her ongoin

Ref: Ms Alison Martin, 28 years

● As I told, ask this question first - Whom am I writing this.

● Here, “has been diagnosed” is better than “was…”

● Good lines but let’s start over.

Today,​[no comma]​ Ms Martin ​presented​ ​visited​ the clinic accompanied by her

Please do not hesitate to contact me if you have any queries.

● Fantastic (with some errros)

10th June, 2006

The Community Nurse Supervisor

● You have missed reference

● Those punctuation issues - comma, full stop, etc

The Bunbury General Rehabilitation Centre

An attention deficit hypersensitivity disorder sufferer, Ms Clara lives with her

● Score 390 or 400

Ref: Ms Luca Luke, 75 years

Ms Luke requires re-education regarding proper use of inhaler ​use​[repeated “use”]​.

Ref: Ms Tabitha Taborlin, 69 Years

● More than usual errors!

● Silly errors! Beware!

Kindly contact me if you have any queries.

● fAILED TO include case notes

23rd September 2019

Dear Sir /Madam,

● One more thing!

● The last lines show how “concerned” you are!

● Get ready to join my upcoming “OET in 30 Days” to build up this “language

In view of the above circumstances​[,]​ it would be greatly appreciated if you could

● Dear new comers, attention please!

○ Give your contact details in case the recipient (doctor, nurse,

Ref: Ms Patricia Styles, 63 years

● Seems like you are mixing up borrowed words and phrases!

● At times, you write well!

● Before you start the letter, ask 5 questions!

Ref: Ms Monica Osburn, 69 years

● It is a little different kind of starting.

Divorced / ​A divorcee and mother of a daughter​, Ms Osburn lives alone in a rented

Please do not hesitate to contact me if you have any queries.

● Score 330+ or 340

Ref: Ms Monica Osburn, 69 years

Please do not hesitate to contact me if you have any queries.

Ref: Ms Patricia Styles, 63 years

Today, during home visit​[comma missing!]​ Ms Styles ​was​ found to be unwell,

Re: Mrs Elma Edith, DOB:19 February1967

On consultation today, Mr Warden presented with a new complaint of a lump in his

Mr Peterson,[is that comma by mistake?] is a regular patient at my school clinic who

Today,[no comma] Ms Martin presented visited the clinic accompanied by her

Ms Luke requires re-education regarding proper use of inhaler use[repeated “use”].

In view of the above circumstances[,] it would be greatly appreciated if you could

Divorced / A divorcee and mother of a daughter, Ms Osburn lives alone in a rented

Today, during home visit[comma missing!] Ms Styles was found to be unwell,

It would be greatly appreciated if you could provide rehabilitation for Mr McDonald

Ref: Mr Lionel Ramamurthy, aged 63 years

Re: Mrs Olivia Hawthorne, aged 40 years

A scholarship student for Master[s] in Information Technology, Mr Ma lives in a