Sample Medical Referral Letter to a Specialist

Respected sir,

My son/daughter visited you last week (date) and was diagnosed with brain cancer (Disease type), third stage. You advised us to consider an operation right away. However, upon further asking around I came to know that I will have to pre-book a bed in the operation theatre before it takes place. (Write actual situation). Sir, as you know that my son/daughter is in the last stage of cancer and needs to be operated upon desperately. (Write actual problem and situation). We can’t find any other nearby hospital thus I request you to kindly permit us and grant us a bed in the operation theatre.

The operation is scheduled to take place on the (date) of this running month and I would be really thankful if you yourself would conduct my daughter/son’s operation. I hope that you will understand my situation and consider approving my request.

Thanking you,

Your name…

Address…

Contact no. and signature…

Respected hospital administration head!

From the past few weeks I am feeling blinding pain (Disease or physical problem type) in my stomach and after that, there is a phase of dizziness where I feel I might almost lose my consciousness. (Describe your actual problem and situation). At first, I thought not much of it but now the intensity of pain is increasing every time it happens and it is affecting my everyday life routine.

I have sent my insurance to be renewed but it can take up to a week and I do not know if I can hold that in any longer so if you will please grant me a visit to the hospital and then you can bill me after the insurance comes I will be very grateful for you.

Regards,