Telephone Consultation Letter
Created by
Fiona Campbell
Specialty
Neurologist
Last edited
10/20/2026
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About this template
A reusable letter structure for documenting telephone consultations with patients. It captures the call details, patient-facing summary, advice, and agreed follow-up, along with clinician sign-off information.
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14/05/2024 14:30
Sarah Jenkins
MRN: 482-910-38
Dear Sarah,
This letter summarises the telephone conversation we had.
I explained that your recent brain scan results are reassuring and show no worrying structural causes for your headaches. We agreed on a new daily medication plan to help reduce how often these attacks happen.
The purpose of our telephone call was to review the results of your recent brain MRI scan and check on how your migraines have been affecting you over the past month.
During our call, you mentioned that you are still getting throbbing headaches on the right side of your head about three times a week, which come with sensitivity to light. Your sumatriptan 50 mg PO PRN tablets help stop the pain when an attack starts, but the headaches are still happening too often and are disrupting your work. I shared the good news that your brain MRI scan is completely normal, which rules out any serious underlying problems.
To help prevent the migraines from starting, I have advised that you begin taking a daily preventative tablet called amitriptyline 10 mg PO ON. You should take this one to two hours before you go to bed, as it can make you feel slightly drowsy at first. If you arestill having frequent headaches after two weeks, and you are not having troublesome side effects like a dry mouth or morning sleepiness, you can increase the dose to 20 mg PO ON. Please continue to keep your headache diary and avoid taking painkillers on more than ten days a month, as doing so can actually make headaches worse over time. If you ever develop a sudden, severe headache that reaches maximum pain within a few minutes, or if you experience a headache alongside a fever, a stiff neck, confusion, double vision, or weakness on one side of your body, you must seek urgent medical attention by calling 999 or going to the nearest emergency department.
I have written to your GP today to ask them to prescribe the amitriptyline for you. I have also arranged a follow-up telephone appointment for us in three months to see how well this new treatment is working.
Yours sincerely,
Dr Alistair Vance, MBBS, MRCP, PhD Consultant Neurologist
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