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how to draft a medical referral letter medical referral letter date to attention address postal code country subject letter of medical necessity to whom it may concern dear Dr I am referring patients name for evaluation in consideration for a weight management surgical procedure as he currently weighs hash of pounds pounds and is hash of in inches tall her his BMI is BMI hash I have been patients name s primary care physician for the past hash of yrs years I have supervised several of her his weight control diets and programs none of these have resulted in any sustained weight loss as a result of this persistent morbid obesity her his comorbid conditions are becoming more difficult to manage these comorbid conditions are as follows duration medication one hypertension three years norvasc tenormin two diabetes mellitus five years glucophage three obesity related depression three years Prozac losing weight will certainly make these conditions easier to manage since non-surgical programs