Kirra Williams
Psychologist
1593831K
Telehealth Services
E: admin@slippsychology.com
F: +61370732071

<TodaysDate>

Dear Kirra Williams, 

Re: <PtFullName>
DOB: <PtDoB>
Patient Medicare Number: <PtMCNo> IRN: 1 

Thank you for seeing <PtFullName> for psychological assessment and therapy under a Mental Health Care Plan (MHCP). 

<PtFullName> has reported symptoms of X.

Please see <PtFullName> under their existing MHCP for 10 sessions for this calendar year. Social and Medical History Anything relevant to mental health here. 

Please send me a progress report after the 6th and 10th sessions. 

Yours sincerely, 

{Signature or Stamp Here} 

<DrName>
<DrProviderNo>
<DrPhone>
<DrFax>
<DrEmail>
<DrStreet>, <DrCity>, <DrState>, <DrPostcode>