A concise professional letter from a mental health clinician to a paediatrician providing updates on a shared patient (child / adolescent). The letter summarises relevant clinical information about the young person’s mental health treatment, developmental considerations, and family factors. This NovoNote letter template uses terminology familiar to paediatricians while maintaining clinical precision, and respects the paediatrician’s time constraints.
For best results, use the Additional Context box to state the purpose of the letter before generating. The template is designed to frame the letter around any stated purpose, whether that is a treatment update, care coordination, or a specific clinical request.
Re: Patient’s name
DOB:
Dear Dr Paediatrician’s last name,
Purpose of Correspondence
Current Presentation and Relevant Context
Treatment Summary
Psychometric or Developmental Assessment Results
Parent/Carer Involvement and Family Factors
Observations Regarding Physical Health or Development
Medication-Related Observations
Risk or Safety Considerations
Recommendations or Coordination Requests
Ongoing Care
Thank you for your ongoing care of patient’s name / this young person and the opportunity to collaborate in supporting their / his / her wellbeing. Please contact me if you require any further information or wish to discuss patient’s name’s / this patient’s care.
Kind regards,
Clinician Name
Clinician Profession
Re: Emma Brown
DOB: 14 March 2013
Dear Dr Smith,
Purpose of correspondence:
I am writing to provide an update on Emma’s psychological treatment and to request your review regarding the possible contribution of sleep difficulties to her current presentation.
Current presentation and relevant context:
Emma, aged 12, was referred for psychological support following a significant decline in school attendance and increasing social withdrawal over the preceding six months. She presents with symptoms consistent with generalised anxiety, including persistent worry, difficulty concentrating, somatic complaints (primarily stomach aches on school mornings), and disrupted sleep. These difficulties are meaningfully impacting her academic performance and peer relationships, with her parents reporting she has disengaged from extracurricular activities she previously enjoyed. Emma is currently in Year 7 at Novo Primary School, and her parents describe the transition to secondary school as a significant stressor. There is no known prior mental health history, and Emma has not previously engaged in psychological treatment.
Treatment summary:
Emma has been engaging in individual Cognitive Behavioural Therapy (CBT) with a focus on anxiety psychoeducation, cognitive restructuring, and graduated exposure to avoided situations. Fortnightly sessions have been conducted over the past three months, totalling six sessions, with parent sessions incorporated every third appointment to support generalisation of strategies at home. Emma’s engagement has been consistent and she is beginning to apply relaxation and thought-challenging techniques independently, though avoidance behaviours remain a key area of ongoing work. Her school has been informed of her presentation, with recommendations provided to her year coordinator regarding low-pressure re-engagement strategies.
Parent/carer involvement and family factors:
Emma’s parents have been actively involved in treatment, attending parent sessions and implementing consistent routines at home. Psychoeducation around anxiety and the role of parental accommodation has been provided, and both parents are engaged and motivated to support Emma’s progress.
Observations regarding physical health or development:
Emma’s parents report persistent difficulty initiating sleep and frequent night waking, which appears to be exacerbating her daytime fatigue and anxiety symptoms. This may warrant further exploration from a paediatric perspective.
Recommendations or coordination requests:
Given the chronicity and functional impact of Emma’s sleep difficulties, I would be grateful if you could review her sleep presentation and consider whether further investigation or management is warranted. I am happy to collaborate with you regarding any recommendations that may complement her current psychological treatment.
Ongoing care:
Emma will continue fortnightly CBT sessions with a planned review of goals at session ten. I welcome any correspondence regarding your assessment findings and am available to discuss her care further at your convenience.
Thank you for your ongoing care of Emma and the opportunity to collaborate in supporting her wellbeing. Please contact me if you require any further information or wish to discuss Emma’s care.
Kind regards,
Dr Sarah Mitchell
Clinical Psychologist
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