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

DD/MM/YY

Dear Kirra Williams, 

Re: (Patient Full Name)
DOB: (Patient DOB)
Patient Medicare Number: (Patient Medicare) IRN: (Patient IRN)

Thank you for seeing (Patient Full Name) for psychological assessment and therapy under a Mental Health Care Plan (MHCP). 

(Patient Full Name) has reported symptoms of X.

Please see (Patient Full Name) 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} 

(Doctor’s Name)
(Doctor’s Provider Number)
(Doctor’s Phone Number)
(Doctor’s Email)
(Doctor’s Address )