Dear Dr. John Smith,
Thank you for your kind referral of Mr. James Anderson, whom I have recently seen for a consultation regarding his missing teeth and need for dental prosthetics. I have recently seen him for a consultation and have summarised my findings below.
Mr. James Anderson presented with complaints of difficulty chewing and speaking due to multiple missing teeth. He also expressed concerns about the aesthetic impact on his smile. His history of presenting complaints includes a gradual loss of teeth over the past five years, primarily due to advanced periodontal disease.
The patient's past medical history includes:
- Type 2 Diabetes
- Hypertension
- Previous dental extractions
Current medications and supplements:
- Metformin
- Lisinopril
- Vitamin D supplement
Upon evaluation, the following findings were noted:
- Multiple missing teeth in the upper and lower arches
- Moderate bone resorption in the maxillary and mandibular regions
- Healthy remaining teeth with no signs of active decay
Based on the assessment, the following plan has been initiated:
- Fabrication of complete upper and lower dentures
- Follow-up appointments to adjust and fit the dentures
- Recommendations for maintaining oral hygiene and regular dental check-ups
I will continue to monitor Mr. James Anderson and provide updates as necessary. Should you have any queries regarding the treatment plan, please do not hesitate to contact me to discuss further.
Thank you for your kind referral and collaboration in the care of this patient.
With best regards.
Yours Sincerely,
Dr. Thomas Kelly
Prosthodontist
Dear [Referring Clinician's Name] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.),
Thank you for your kind referral of, [Patient's Name] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.), whom I have recently seen for a consultation [reason for referral] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.). I have recently seen him/her for a consultation and have summarised my findings below.
[Patient's Name] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) presented with [describe current issues, reasons for visit, discussion topics, history of presenting complaints etc] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.).
The patient's past medical history includes:
- [describe past medical history, previous surgeries] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.)
Current medications and supplements:
- [mention medications and herbal supplements] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.)
Upon evaluation, the following findings were noted:
- [describe relevant clinical findings, examination results, diagnostic tests, etc] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.)
Based on the assessment, the following plan has been initiated:
- [describe treatment plan, interventions, follow-up recommendations, etc] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.)
I will continue to monitor [Patient's Name] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) and provide updates as necessary. Should you have any queries regarding the treatment plan, please do not hesitate to contact me to discuss further.
Thank you for your kind referral and collaboration in the care of this patient.
With best regards.
Yours Sincerely,
[Full Name]
[Title]