Submit a psychiatric consultation letter. You must use an actual patient from your clinical experience but?remove all identifying information?(names, places, etc.) so that it is HIPAA compliant. 
Directions: 
You will often be asked to consult with patients and provide various letters throughout your career. Some examples include a primary care provider who may ask you to see their patient who they feel is too young or too complex for them to manage. When they have referred this patient to you, it is a professional courtesy to write a letter thanking them for the referral and explaining your diagnosis and treatment plans. In addition, patients may ask you to write letters to the school or their employer to excuse an absence or for school/ work accommodations. These are appropriate requests; however, you must be aware that you must not violate HIPPA laws when writing these letters. 
For your assignment, choose a patient you have seen during your clinical experience to write a professional letter. The letter can either be 
A consultation letter that you would send back to a primary care provider who referred a patient to you to update them on the status of the patient or 
A school/ work for recommendations for a patient who needs special accommodations, FMLA, IEP, or 504. 

Remember that no actual identifying information should be included in your submission.
Psychiatric Consultation Letter
Psychiatric Consultation Letter
Criteria
This criterion is linked
to a Learning
OutcomeIdentifies
nature of letter
This criterion is linked
to a Learning
OutcomeConfirms
authorization for
release of information
This criterion is linked
to a Learning
OutcomeImpression
Ratings
15 pts
Proficient
Provides an opening statement in which the nature of the
letter is identified- either giving individualized work or
school physical limitations/ recommendations or
thanking a referring provider.
15 pts
Proficient
Provides a statement confirming the patient has
provided a HIPAA release which authorizes
release of information.
30 pts
Proficient
Provides a concise
discussion of the
of the diagnosis
that is appropriate
for the situation
and recipient of
the letter.
25 pts
Acceptable
Provides a
discussion of the of
the diagnosis with
some with some
minor errors or that
is not appropriate
for the intended
recipient.
12 pts
Acceptable
The opening statement
is vague in providing
the reason for the letter.
0 pts
Missing
The nature o
letter is not
provided in a
statement.
0 pts
Missing
Does not provide a statement confirming the pa
has provided a HIPAA release which authorize
release of information.
22 pts
Needs
Improvement
The discussion of
the diagnosis is
vague, missing, or
inappropriate for the
intended recipient of
the letter.
15 pts
Unsatisfactory
More than one
element is vague,
missing, or
inappropriate for the
intended recipient of
the letter.
0 pts
Miss
No
impr
prov
Psychiatric Consultation Letter
Criteria
Ratings
This criterion is linked
to a Learning
OutcomeTreatment
Plan
30 pts
Proficient
Describes a detailed
plan for medications
and laboratory orders
that are clearly
related to the
primary diagnosis.
The medications
include all
prescribing details. If
labs are ordered,
they are appropriate
for the diagnosis and
medication.
This criterion is linked
to a Learning
OutcomeOrganization/
Professionalism
Total Points: 100
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10 pts
Proficient
The
Consultation
Letter is well
organized,
succinct, and
uses
professional
terms.
25 pts
Acceptable
Describes a
detailed plan for
medications and
laboratory orders
(if indicated).
Some details may
be vague or not
clearly relevant to
the primary
diagnosis.
8 pts
Acceptable
The letter is
mostly organized
and with 1-2
minor mistakes
in grammar or
placement of
information.
22 pts
Needs
Improvement
Describes a general
plan for
medications and
laboratory orders.
There are several
key missing details
or items not
relevant to the
primary diagnosis.
7 pts
Needs
Improvement
Several mistakes in
placement of
information or
word choice that
impact the
organization and
clarity of the letter.
15 pts
Unsatisfactory
Describes a general
plan for
medications and
laboratory orders
that contains errors
or is incorrect for
the primary
diagnosis.
5 pts
Unsatisfactory
Numerous mistakes in
wording and
placement of
information. The
Consultation Letter is
disorganized,
unprofessional, and
challenging to
understand.
0 pts
Missin
The treatment
plan on
pertinent
require
information
0 pts
Missing
Information
unreadable
multiple
mistakes i
organization
unclear
information