Second Opinion Cinical Request

Dear [receiving clinician name] I am writing to request a second opinion regarding [patient's full name], who has been diagnosed with [patient's diagnosis] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). Despite a therapeutic trial of [current medication and dosage] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely) for [duration of treatment] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely) and an increase in [additional medication and dosage] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely) [timeframe of dosage increase] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely), [patient's first name] has shown minimal therapeutic benefit and continues to experience [description of symptoms] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). [Patient's first name]'s current treatment regimen has not yielded the desired improvement, and [he/she/they] remains [description of patient's current mental state] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). [He/She/They] maintains some level of [positive aspect, e.g., motivation] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely) but reports no significant improvement in [his/her/their] overall mood or functioning (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). Given the lack of response to pharmacotherapy, I am considering [alternative treatment option] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely) as a potential treatment option for [patient's first name]. We have discussed [alternative treatment option] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely) as a [description of treatment, e.g., non-invasive treatment with no risk of memory loss] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely), unlike [comparison treatment, e.g., Electroconvulsive Therapy (ECT)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely), and [patient's first name] is willing to pursue this option. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). I would greatly appreciate your expert opinion on the suitability of [alternative treatment option] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely) for [patient's first name] and any recommendations you may have for [his/her/their] treatment plan. [Patient's first name] is currently on [description of patient's current status, e.g., long-term disability leave] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely) and is in the midst of [additional stressors, e.g., divorce proceedings] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely), which have added to [his/her/their] stress and overall mental health burden (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). I include past correspondence to [his/her/their] General Practitioner and Treatment Team for clinical background in your assessment. (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). Please let me know if you require any further information or if you would like to discuss [patient's first name]'s case in more detail. I look forward to your guidance on this matter. Yours sincerely, [Clinician name] CC: [Insurance Company Case Manager] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely) CC: Dr. [GP] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely) (For each section, only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)