Sample Breast Reduction Letter Template

15151 NATIONAL AVENUE

LOS GATOS, CA 95032

PHONE: (408) 356-0431 - FAX: (408) 356-8569

Re: Breast Reduction

To whom it may concern:

a patient of mine. Over the past few years she has suffered from chronic mid-

back/thoracic spine pain which can often lead to adjacent neck strain and headaches. While she

may respond well to chiropractic treatment the relief is temporary and she continues to have

chronic mid back postural strain.

Typically, someone with this diagnosis would respond favorably to exercise strengthening of the

mid-back and core muscles that we would recommend. However, for years,

has maintained an active and healthy regiment of careful exercise and back strengthening, yet her

problems persist due to the midback muscles having to constantly counterbalance the weight of

her breasts.

I would like to express my recommendations for the medical necessity of breast reduction

surgery to alleviate and resolve this condition.

Sincerely,

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