Dr. A. Brown by qlc15660

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letter-of-example pdf

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									                           SAMPLE DOCTOR LETTER

You will need to obtain a letter from your Renal Physician if you intend to travel
                                     overseas.

Why?
  1. You will need to present this letter to your renal unit for your overseas PD Supply order
     to be arranged.

   2. You may be able to have your excess baggage fees waived by the airline (for your
      HomeChoice PRO™ machine) on presentation of your letter.

   3. You will need to present your letter to the Customs Officer at the airport to pass
      through safely with your medical equipment and supplies.

      It is important that you keep a copy of this letter with you at all times when overseas.


Please find below a Sample Doctor Letter from your reference.

                                          EXAMPLE
            NOTE: YOUR LETTER MUST BE PRINTED ON A HOSPITAL LETTERHEAD

To Whom It May Concern:

RE:     Mrs A. Smith
        1 The Street
        ANYTOWN

The above patient is traveling to Cyprus on the 25th June 2007.

Mrs Smith is a patient with renal failure under the care of this hospital, and uses Peritoneal
Dialysis as a life support system.

The following supplies are required for her treatment and is the total amount she will require
for the duration of her stay:


        60 bags (12 boxes)             B9403L           1.25%         2L PD-4 Dianeal™
        10 bags (2 boxes)              B9405L            4.25%        2L PD-4 Dianeal™


These products have no commercial value and are for patient use only.

Yours sincerely,

Dr. A. Brown
Dr. A. Brown
Consultant Nephrologist

								
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