Grade A OET Letter Sample | Bethany Tailor

OET is the English language test for medical professionals. Case notes are given below.



Read the case notes below and complete the writing task which follows.


Hospital: St. Mary’s Public Hospital, 32 Fredrick Street, Proudhurst

Patient Details: Ms Bethany Tailor

Next of Kin: Henry Tailor (father, 65) and Barbara Tailor (mother, 58)

Admission date: 01 March 2018

Discharge date: 18 March 2018

Diagnosis: Schizophrenia

Past medical history:

  • Hypertension secondary to fibromuscular dysplasia
  • Primary hypothyroidism Levothyroxine 88 mcg daily

Social background:

  • Unemployed, on disability allowance for schizophrenia.
  • History of polysubstance abuse, mainly cocaine and alcohol. Last used cocaine 28/02/18:

Admission 01/03/2018:

  • Patient self-admitted: decompensated schizophrenia

Medical background:

  • Not compliant with medications.
  • Admitted for auditory command hallucinations telling patient to harm self.
  • Visual hallucinations – shadow figures with grinning faces.
  • Delusion – personal connections to various political leaders.

01/03/2018 –

  • agitated and aggressive, responding to internal stimuli with thought blocking and latency.
  • Commenced antipsychotic meds (rispoderone).


  • Patient ceased reporting auditory or visual- hallucinations.
  • Less disorganised thinking.
  • No signs of thought blocking or latency.

Able to minimise delusions and focus on activities of daily living.

Nursing management:

  • Assess for objective signs of psychosis.
  • Redirect patient from delusions.
  • Ensure medical compliance.
  • Help maintain behavioral control, provide therapy if possible.


  • Good progress, chronic mental illness, can decompensate if not on medications or abusing

substances. Insight good, judgment fair.

Discharge plan:

  • Discharge on Risperidone 4g nightly by mouth.
  • Risperidone 1 milligram available twice daily p.r.n for agitation or psychosis.
  • back to apartment with follow-up at Proudhurst Mental Health Clinic

Writing Task:

Ms. Bethany Tailor is a 35-year-old patient in the psychiatric ward where you are working as a


Using the information given in the case notes, write a discharge letter to the patient’s primary care

physician, Dr. Giovanni DiCoccio, Proudhurst Family Practice, 231 Brightfield Avenue, Proudhurst

In your answer:

● Expand the relevant case notes into complete sentences

● Do not use note form

● Use correct letter format

The body of your letter should be approximately 200 words. Use correct letter format.

Sample letter

Dr. Giovanni DiCoccio

Primary Care Physician

Proudhurst Family Practice

231 Brightfield Avenue


Date: 18 March 2018

Dear Dr. Dicoccio

Re: Ms. Bethany Tailor; Age – 35 years

Your patient Ms. Bethany Tailor admitted herself for decompensated schizophrenia to the psychiatric ward of St. Mary’s Public Hospital. She is showing good progress and ready for discharge and requires follow up at your clinic.

On March 1, 2018, the day of her admission, she was experiencing auditory command and visual hallucinations along with delusion. She seemed agitated and was experiencing thought blocking and latency. During her stay, we started with antipsychotic medicine (risperidone). She had ceased reporting auditory or visual hallucinations and has not shown any signs of thought blocking or latency since March 10.

Please note that the nursing management of our hospital focused on ensuring medical compliance, maintaining behavioural control and assessment of objective signs of psychosis. As you may be aware, she has been non compliant with medications and has a history of polysubstance abuse. She has shown good progress but can decompensate if she is not on medication or starts doing drugs again.

She is on Risperidone orally (4g) with 1mg twice daily in case of agitation or psychosis. She is about to be discharged and has been advised / told to follow up at your clinic. You are requested to monitor her condition, ensure compliance of medication and avoidance of substance abuse.

If you have any questions, please do not hesitate to contact me.

Yours sincerely


Manjusha Nambiar

Hi, I'm Manjusha. This is my blog where I give IELTS preparation tips.