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The format of your medical letters is entirely up to you. If you have an existing letterhead template, simply send it over. Alternatively, we can design a customized style that perfectly fits your Canadian practice or EMR system.

□ EMR Direct Import: Many practices choose to have the date, recipient name, and body transcribed cleanly so they can import data directly onto their EMR letterheads.
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□ SAMPLE TYPE: GENERAL SURGERY REPORT
Dr. Jane Smith, FRCSC, FACS
General Surgeon
Tel: 123-456-7890
123 Main Street, Suite 101
Anywhere, Ontario A1A 1A1

January 1, 2025

Dr. Random Name
Address 1, Address 2
Anywhere, ON B2B 2B2

RE: DOE, Jane A.

Dear Dr. Name,

Thank you for asking me to see this 55-year-old woman with right upper quadrant pain. She has had it for many months now. She describes it as occurring in the evening. It is not related to meals. She works nights as a cleaner and finds that when she mops the floor or twists, she gets sharp pain. It can last anywhere from a couple of hours to longer. There are no GI symptoms. She has not had fever or jaundice. The pain doesn’t radiate. It typically is not there when she is not working.

There is no change in her bowels or urinary function and overall, she is well. There is no family history of gallstones.

Medications: Diamicron, Coversyl, Janumet, Crestor, and Jardiance.
History: Diabetes, hypertension, and high cholesterol. Non-smoker.

Jane was examined. She has a soft abdomen. She was a little tender high in the right upper quadrant on deep inspiration. There were no masses or other findings. She was not tender over her chest wall. Thank you for forwarding her abdominal ultrasound which did confirm multiple gallstones. The biliary tree was normal.

Even though she does have gallstones I am not convinced that that is the cause of her symptoms. Her pain, to me, sounds more musculoskeletal. She does have a couple of days off work over the holidays that I have suggested that she apply some heat, massage the area and use some anti-inflammatory and see if this will alleviate the discomfort...

Regards,

Dr. Jane Smith, FRCSC, FACS

(Dictated but not read)
JS/pmts

□ SAMPLE TYPE: GASTROENTEROLOGY & HEPATOLOGY REPORT
John W. Doe MD, FRCPC
Gastroenterology, Hepatology & Internal Medicine
Medical Centre, Unit 00
000 Some Street, Anywhere, ON P9P 9P9
Fax: (098)765-4321

October 12, 2025
Dr. XXXXX XXXXXX | Fax: 000-000-0000

RE: Last, First | DOB: January 1, 1980

Dear Dr. XXXXXXX,

Thank you for your kind referral. As you know, this is a 44-year-old gentleman referred for hyperferritinemia. He denies any symptoms related to chronic liver disease and there is no history of hepatitis. In general he is in good health and feels well – this was noted on routine blood work.

Past Medical History: No significant history.
Medications/Allergies: None / None.
Social History: No tobacco. Moderate alcohol use (about a beer a day, sometimes more).

On Exam: Awake, alert, oriented. Chest clear. CV normal heart sounds. Abd soft, non-tender, no mass or palpable enlargement of liver/spleen.

Labs: Ferritin of 402 on May 30th. Iron saturation 18%, iron level 10. Hgb 150, MCV 89, platelets 173, glucose 5.1, ALT 33. Genetic testing for hemochromatosis was normal.

A/P: This 44-year-old gentleman presents with a mild hyperferritinemia. I suspect this is related to alcohol. His relatively low iron saturation argues against true iron overload. For now, I am planning to repeat his ferritin in 3 months. He will remain abstinent from alcohol between then and now, and follow up with me a week later.

⚠️ Confidentiality Notice: This facsimile contains protected medical information intended solely for the designated recipient. Unauthorized copying or distribution is strictly prohibited.

Sincerely,

Dr. John W. Doe

JWD/pmts

□ SAMPLE TYPE: ENDOCRINOLOGY & METABOLISM REPORT
Dr. John Smith, M.D., FRCP(C)
Endocrinology and Metabolism | 123 Main Street, Anywhere, Ontario A1A 1A1
Tele: 123-456-7890  |  Fax: 098-765-4321

March 1, 2025
Dr. Random Name | Fax: 555-555-5555
cc: Dr. Another Name, Fax: 252-252-2525, PMH

RE: DOE, Jane  |  DOB: January 1, 1970

Mrs. Doe was reviewed in office today. As you know she had a thyroidectomy in 2014 for bifocal right micropapillary thyroid carcinoma with no adverse features. She did not receive I-131 ablation and remains asymptomatic with no evidence of recurrence. Recent serum thyroglobulin is stable at 0.3 and a recent neck ultrasound show no residual.

Exam: Weight 134 lbs. Clinically euthyroid. Faint scar hardly visible. No palpable masses in the thyroid bed. Trachea central. Chest clear. Heart sounds unremarkable. No tremor.

Assessment: Currently stable with no evidence of recurrence. I will renew her prescription for Synthroid 100 alternating with 112 mcg for another year with repeat thyroglobulin next year.

Yours Truly,

John Smith, MD, FRCP(C)

DICTATED BUT NOT READ
JS/pmts

□ SAMPLE TYPE: RADIOLOGY REPORT (EAP PORTABLE CHEST)

EXAMINATION: EAP PORTABLE CHEST
DATE: [SPECIFY DATE]

FINDINGS:

The cardiac silhouette and great vessels appear normal. Minimal infiltrations are noted involving both lower lung fields. Lungs are otherwise clear. There has been a moderate improvement in the lower lung field infiltration when compared with previous study dated ______.

PLACEMENTS:
Endotracheal and nasogastric tubes are noted in satisfactory position. Central line is noted in place via the right internal jugular vein with the distal aspect located at the right atrium.

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