Example Study Recommendation Letter #1 (Pediatric) (Page 3 of 8) in pdf

Example Study Recommendation Letter #1 (Pediatric) Page 3

Example Study Recommendation Letter #2 (pediatric)

Hospital/clinic logo here

To Whom it May Concern:

I have followed [patient name] since [age] months of age. [He/she] has a history of significant

global developmental delay, [he/she] is nonverbal, has hyperoral behavior, macrocephaly, small

stature, [further description]. [He/she] has a great disposition and visually interacts with [his/her]

environment. [He/she] has continued to make very slow but steady motor development but has

never developed speech. [He/she] has never had seizures or developmental regression. Significant

genetic, metabolic, and neurodiagnostic evaluation (as listed below) has yet to yield an underlying

diagnosis. I am referring [him/her] to the Undiagnosed Diseases Network in attempts to find a

unifying diagnosis for [his/her] multitude of symptoms. I truly feel that there is an underlying

metabolic or genetic cause for [his/her symptoms that our testing thus far has not uncovered.

[He/she] has been seen by numerous other specialists across the country.

[His/her] evaluation to date includes:

Normal or negative metabolic studies:

Urine organic acids

Serum amino acids

Creatinine guanidinoacetate

Etc.

Normal or negative genetic studies:

Routine chromosomes

Chromosomal microarray [year]

mtDNA point mutations and deletions

GeneDx 101 mitochondrial nuclear gene panel

Etc.

Neuroimaging/neurodiagnostics:

[year]--- MRI showed [results]

[year] CT showed [results]

Etc.

Letter #2, Page 1

Example Study Recommendation Letter #1 (Pediatric) Page 3