PCP REFFERAL LETTER IF DONE!!!!!!!!!!
This is an update to my post from a few weeks ago. My PCP advised me that I had to write my own refferal letter recomending surgery as a medical necesity. It was a surprise to me because I though he had been working on it the past 6 months. I was SO ANGRY at first and many of you offered your suggestions on how to best write this letter. (I didnt know where to start) I took many of your suggestions and added my own twist with the help of an OBGYN that lives next door. I think I've got all my bases covered and the Dr next door thinks its a GREAT referral letter. What do you all think?? The letter is actually LATE and was supposed to be in last week. But, the surgions office extended me till Tuesday so I still have time to make some changes. So ANY SUGGESTIONS dont be shy............. Im listening!!!
PCP Letter Head
Dr. Paul Guske
ICO: Suburban Sergacal Care Specialists
RE: Patients Full Name
Dear Dr. Guske;
Currently, Mr. LAST NAME is a CURRENT AGE male who stands HIEGHT tall and weighs
CURRENT WEIGHT giving him a BMI current BMI. MR. LAST NAME is diagnosed as morbidly obese and all though currently in good general health, LAST NAME is fully aware of the health concerns facing someone of his size and his family medical history of Diabetes, Heart Disease, High Blood Pressure and other obesity related diseases. MR LAST NAME is concerned about his future as an obese adult.
Over the years Mr. LAST NAME has made several attempts to loose his excess weight using traditional methods including; Weigh****chers, Jenny Craig, Nutra System, Susan Powder, Richard Simmons, Slim Fast, Metabolife, Atkins, Scarsdale, Opti Fast and others. This patient has experienced varying degrees of success with each of these plans but, to date he has not found any sustainable results using these traditional methods.
Mr. LAST NAME came to me in June of 2008 through a family referral seeking support as he was beginning the process of obtaining surgical intervention to aid him in his life long struggle over obesity. He was interested having the Laparoscopic Band procedure done and I offered my support. At the time of our first meeting Mr. LAST NAME weighed PRE DIET WEIGHT and had a BIM of PRE DIET. With the aid of a registered dietitian and Weigh****chers Mr. LAST NAME has made some notable strides in his latest weight loss effort. He and I agree that it is imperative that he continue on his current path of success. We also agree that in order for him to achieve sustainable results it is medically necessary for him to proceed with his original plan for surgery. He has expressed both a healthy knowledge of the Laparoscopic Band procedure and true expectations of what that procedure can offer him. Mr. LAST NAME has also demonstrates a knowledge of the weight loss process and seams committed to regaining control over his obesity. For these reasons I feel that Mr. LAST NAME is an excellent candidate for this surgery and could only benefit from the out come.
I am referring FIRST & LAST NAME to your service and evaluation for weight loss surgery.
Sincerely,
Referring Physician
DATE:
Dr. Paul Guske
ICO: Suburban Surgical Care Specialists
RE: Patients Full Name
Dear Dr. Guske;
Currently, Mr. LAST NAME is a CURRENT AGE male who stands HEIGHT tall and weighs CURRENT WEIGHT, giving him a BMI of current BMI. MR. LAST NAME is diagnosed as morbidly obese and all though currently in good general health, MR. LAST NAME is fully aware of the health concerns facing someone of his size and his family medical history of Diabetes, Heart Disease, High Blood Pressure and other obesity related diseases. MR LAST NAME is concerned about his future as an obese adult.
Over the years Mr. LAST NAME has made several attempts to loose his excess weight using traditional methods including; Weigh****chers, Jenny Craig, Nutra System, Susan Powder, Richard Simmons, Slim Fast, Metabolife, Atkins, Scarsdale, Opti Fast and others. This patient has experienced varying degrees of success with each of these plans but, to date, he has not found any sustainable results using these traditional methods.
Mr. LAST NAME came to me in June of 2008 through a family referral seeking support as he was beginning the process of obtaining surgical intervention to aid him in his life long struggle over obesity. He was interested having the LapBand procedure done and I offered my support. At the time of our first meeting Mr. LAST NAME weighed PRE DIET WEIGHT and had a BMI of PRE DIET. With the aid of a registered dietitian and Weigh****chers, Mr. LAST NAME has made some notable strides in his latest weight loss effort. He and I agree that it is imperative that he continue on his current path of success. We also agree that in order for him to achieve sustainable results it is medically necessary for him to proceed with his original plan for surgery. He has expressed both a healthy knowledge of the LapBand procedure and true expectations of what that procedure can offer him. Mr. LAST NAME has also demonstrates a knowledge of the weight loss process and seems committed to regaining control over his obesity. For these reasons I feel that Mr. LAST NAME is an excellent candidate for this surgery and could only benefit from the out come.
I am referring FIRST & LAST NAME to your service and evaluation for weight loss surgery.
Sincerely,
Referring Physician
Sharyn, RN
RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012
CIGNA is my insr co.. and one of the req is that I have a letter on file from My PCP stating that surgery is medically necessary... I thought he was writing it the past 6 mo.. only to find out last month that he just didnt have time to write a letter. So HE instructed me to write one and bring it in to have typed up and he will sign it and have it sent in. I thought that was CRAZY!!! But, I guess thats normal practice. It might be smart to have one ready just in case. According the my insurance guru at the surgeons office, the key points are:
Medically NECESSARY
How many diets you have tried
List you co-mobilities if any
State what you have been doing the last 6 mo and how successful you have been..
So I think I have it. It is better if the Dr writes the letter themselves. But, you can fake it if you have to and I guess I have to..
Follow my journey to a happy, healthy, active life at TomBilcze.com
