Free Printable Doctor Referral Appointment Letter Template

Printable Doctor Referral Appointment Letter


May 9, 2054

Dr. Patricia Green
Referral Specialist Clinic
567 Wellness Avenue

Dear Dr. Green,

I am writing to request an appointment with you based on the referral from my primary care physician, Dr. Sarah Smith. Over the past few months, I have been experiencing chronic joint pain that has not improved with over-the-counter treatments. Dr. Smith has advised that I seek specialized care to evaluate my condition further, and she has recommended you as a trusted expert in this field.

I would be grateful if you could schedule a consultation to evaluate my symptoms and determine an appropriate course of action. I understand you may have a busy schedule, so I am flexible and will gladly adjust to any available time slots.

If necessary, I can provide you with additional details regarding my medical history or recent treatments to help inform the consultation. Your guidance and assistance in managing this health issue would be invaluable to me.

Thank you for your time and consideration. I am looking forward to your response and to scheduling an appointment soon.

Sincerely,


[Your Name]

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