Copy and edit this outline:
Subject:
Information for [name]’s appointment on [date]
Information for [name]’s appointment on [date]
Opening:
I am [relationship] and provide regular support to [name]. I am sharing the following observations to assist with assessment and care.
I am [relationship] and provide regular support to [name]. I am sharing the following observations to assist with assessment and care.
Recent changes:
[Dates, observable changes in sleep, speech, behaviour, functioning, medication or safety.]
[Dates, observable changes in sleep, speech, behaviour, functioning, medication or safety.]
Relevant history:
[Diagnosis, previous admissions, medications, responses and important side effects.]
[Diagnosis, previous admissions, medications, responses and important side effects.]
Questions:
[The three most important questions you hope the appointment will address.]
[The three most important questions you hope the appointment will address.]
Contact:
[Name, phone, email and best time to reach you.]
[Name, phone, email and best time to reach you.]
Sincerely,
[Name]
[Contact information]