Date: 1 November 2024
Dr. Eleanor Vance
Vance Psychology Clinic
123 High Street
Anytown, NSW 2000
Re: Progress Review Under Medicare Better Access Initiative
Patient Name: Jane Doe
Date of Birth: 12/03/1985
Medicare Number: 1234567890
Dear Dr Vance,
I am writing to provide a progress review for Jane Doe following her engagement in psychological therapy under the Medicare Better Access Initiative. Jane’s most recent score on the DASS-21 indicated that she was in the moderate range for depression, mild range for anxiety, and moderate range for stress.
Jane presented with symptoms of low mood, difficulty sleeping, and social withdrawal. She reported feeling overwhelmed by work and relationship stressors. Initial assessment revealed a history of childhood trauma and a tendency towards negative self-talk.
* Jane has made significant progress in identifying and challenging negative thought patterns.
* She has implemented relaxation techniques to manage anxiety symptoms.
* Jane has improved her communication skills and is actively working on setting boundaries in her relationships.
Jane continues to experience occasional low mood and is working on developing coping strategies for managing stressful situations.
Interventions utilised during therapy sessions included Cognitive Behavioural Therapy (CBT) techniques, mindfulness exercises, and psychoeducation regarding trauma and its impact.
Jane has attended 6 sessions to date. Based on her progress, I recommend Jane continue engaging in psychological support. Could you please provide Jane with a new referral letter for an additional four sessions so they can continue accessing sessions.
Should you need to contact me regarding Jane’s psychological care, I am always happy to chat with you.
Kind regards,
Dr. Thomas Kelly
1234567890
Vance Psychology Clinic
02 9876 5432
Date: [Today's date]
[State Dr GP's Full Name]
[GP’s Practice Name]
[GP’s Practice Address]
[City, State, Postcode]
Re: Progress Review Under Medicare Better Access Initiative
Patient Name: [state client's name]
Date of Birth: [state date of birth]
Medicare Number: [state Patient’s Medicare Number]
Dear Dr [GP’s Last Name],
I am writing to provide a progress review for [Client’s Name] following their engagement in psychological therapy under the Medicare Better Access Initiative. [Client's name]’s most recent score on the DASS-21 indicated that [pronoun] was in the […] range for depression, […] range for anxiety, and […] range for stress.
[brief summary of initial presenting concerns, including most pertinent findings and clinical information] (Only include if explicitly mentioned in transcript or note, else omit section entirely. Write in 1–2 sentences.)
[brief summary of the client’s progress for each therapy goal] (Only include if explicitly mentioned in transcript or note, else omit section entirely. Write as bullet points or concise paragraph.)
[brief summary of any ongoing issues or new concerns that have arisen during therapy] (Only include if explicitly mentioned in transcript or note, else omit section entirely. Write in 1–2 sentences.)
[brief summary of interventions utilised during therapy sessions] (Only include if explicitly mentioned in transcript or note, else omit section entirely. Write in 1–2 sentences.)
[Client’s Name] has attended [Insert Number] sessions to date. Based on their progress, I recommend [client's name] continue engaging in psychological support. Could you please provide [client's name] with a new referral letter for an additional four sessions so they can continue accessing sessions.
Should you need to contact me regarding [client's name]’s psychological care, I am always happy to chat with you.
Kind regards,
[Clinician's Full Name]
[Provider Number]
[Practice Name]
[Contact Details]
(Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)