Referral Letter I am writing to refer Ms Watson to request further review at your service. As she needs further investigations and education about sexual contraceptive devices. Regarding Ms Watson’s social history she smokes regularly and drinks every weekend. She has been taking oral contraceptives for last one year and her menstrual cycle is normal. She had a monogamous sexual relationship of 10 months and presently, has a partner for 2 months. However, she does not use condoms while having sexual intercourse. Ms Watson visited to the clinic on 16/05/2012 and mentioned her body weight has increased since one year and requested a pap smear test. Urine PCR for chlamydia and pap smear sample was taken and discussed with her about the importance of safe sexual practice and different protective devices. She was educated regarding significance of stop smoking. A cervical screening leaflet was given to her. She was referred to quite line service and advised her to consult a nutritionist. Today, Ms Watson’s positive PCR test result for chalamydia Irachomatis informed to her and she is commenced on azithromycin 1gm. Advised her to inform sexual partners about positive test result and informed her to avoid sexual intercourse for next one week. It would be appreciated if you could educate Ms Watson regarding different blood bone sexually transmitted disease and varied contraceptive measures. Please note, she has been immunized for Hepatitis B