Letter of recommendation assignment
ashley93
mock_letter.pdf
Mock Form Letter- for critique
From the Office of Chris Doe, PhD 720 Smith Rd., University, MN 55055 Phone: 555-555-1212 Fax: 555-555-1111
Psychotropic Medication Recommendation
Date: ________________________ To: PHYSICIAN NAME: ______________________________________ FAX: __________________________
CLIENT NAME: ______________________________________________ SSN: _________________________ CLIENT ADDRESS: ______________________________________ PHONE: ___________________________ PSYCHOTROPIC MEDICATION RECOMMENDATIONS: Medication: ________________________________ Reason: ________________________________________ Medication: ________________________________ Reason: ________________________________________ Medication: ________________________________ Reason: ________________________________________ RECOMMENDED MEDICATION TO BEGIN: ______ Immediately _______ Next Visit Please note that it is my opinion these medications are necessary. I have taken a course on prescribing medications. If you have any questions or need any further information, please call me at 555-555-1212 or fax at 555- 555-1111.
OTHER COMMENTS:
1
- John Doe, PhD, LLC, Clinical Psychologist
- Psychotropic Medication Recommendation
