Discharge Letter

Dr. Lisa Smith

Endocrinology Department
RECEIVER ADDRESS
City Hospital

Newtown

10/02/2014 TODAY’S DATE

Dear Dr. Lisa Smith,

(If you don’t know the doctor’s name

you should write doctor, or sir/madam) SALUTATION

Re: Mrs. Praia Sharma, DOB: 08/05/53

PATIENT’S
Or

Re: Mrs. Praia Sharma, Age: 25 years old

Details

I am writing to discharge………………... Opening (1. paragraph)

In terms of medical history, …………….
On admission, …………………………………
History (2. paragraph) Commented [M1]: If you discharge the patient back into
his/her local doctor, medical history is not written otherwise
if you discharge the patient to a new doctor you can merge
medical history with admission part.
(2. paragraph)

During hospitalization, ……………….…. (3. paragraph)

On discharge, ………………………………... (4. paragraph)

I would appreciate if you ………………. Closing

Yours sincerely,

Doctor

Dr. M. Razavi 00905318214240

T. Jahanjouyan 00989227675654