Referral letter I am writing to refer Ms XXX to request further assessment and management at your service. She is due for discharge today. Regarding Ms XXX social and medical history, she was an ex-smoker and eats food from outside. The patient is overweight and her body mass index is 29. The patient has a family history of cardiac disease. On 07/07/2017 Ms XXX was admitted to the hospital with complaints of heaviness in both forearms and constant jaw discomfort. She was diagnosed with myocardial infraction (MI) which was managed by emergency angioplasty. Her blood cholesterol level was high and ejection fraction was 35% in echocardiogram. During hospitalization her overall cardiac functions has improved and she was educated regarding the entire event and MI. The patient was reviewed by a physiotherapist to educate cardiac exercise programmes and a dietician was visited and explained about the importance of reducing her body weight and cholesterol level. It would be appreciated if you could encourage Ms XXX to reduce her body weight and please provide her low cholesterol diet. . Please refer her to an occupational therapist to provide awareness about her daily activities and work. Please note, she is slightly concerned about her financial management so, please arrange a visit with social worker to assess her sick allowance. Ms Weiss discharge medications are Atorvastatin 40mg, Metoprolol 23.75mg, Cilazipril 0.5mg, Aspirin 100mg, Ticegralor 90mg and glytrin spray for chest pain. Please do not hesitate to contact me for any further queries.