John Sutton
1049 N. Queen St.
Huntington, WV 25701
(304) 555-6879


April 13, 2002


Laura Kee
555 St. of Dreams
Huntington, WV 25703


Dear Ms. Kee,


RE: Referral for speech-language evaluation


I am referring Ethan Taylor to you for a speech-language evaluation. Ethan is five years old. Medical records obtained from Ethan's pediatrician, Dr. Edward Arnette show a history of chronic otitis media. The first occurance was on August 20, 1997 when Ethan was 5 months old. Since then, there has been a reoccurance of three to four middle ear infections each year. The middle ear infections were treated with prescriptions of oral antibiotics, as well as ear drops. Treatments were given by Dr. Edward Arnett, and emergency room physicians, Dr. Nancy Stevens and Dr. Mark Sloan.

Pure-tone and bone conduction tests indicate a mild flat conductive hearing loss in the right ear and a mild to moderate flat conductive hearing loss in the left ear. Tympanometry results are Type B, flat.
(I'm going to include other test results, but I'll have to wait until I return to Huntington to review my audiology notes.)

After completing a hearing evaluation on Ethan, I have diagnosed him with a mild flat conductive hearing loss in the right ear and a mild to moderate flat conductive hearing loss in left ear.

After speaking with Mrs. Taylor and observing Ethan during the hearing evaluation, I am concerned about Ethan's language skills. For this reason and because of Ethan's history of chronic otitis media, I am referring Ethan for a speech-language evaluation.

Thank you,
John Sutton

Voice- An audiologist

Audience- SLP

Say Back- The author is concerned about the childs language skills after evaluating his hearing.

Bless- Good format, for not having one! This is something I am struggling to come up with.

Address- I don't think you are supposed to use I in a referral letter. I am not sure though, so you may want to check on that.

Voice- Audiologist

Audience- Ms. Kee (the SLP)

Say Back- The audiologist has reason to believe that Ethan needs to see a SLP because of language skills.

Bless- Overall, this is really good, because it appears that all of the important info has been included.

Address- I think you have a really good start so far. I will read it later on once you have finished all of it-no suggestions at this time:-)

Voice: John Sutton (audiologist)

Audience: SLP (Laura)

Say Back: The author is referring her client for language therapy and stating the reasons why.

Bless: Nice format. The letter sounds very professional and complete.

Address: All I can say is just make sure you get the right format.(even though this one looks great!)