CONFIDENTIAL FAX TO DOCTOR________________________________________ |
||||||||||||
FAX# _____________________________ Date: ________________ | ||||||||||||
|
||||||||||||
Dear Doctor, I am terribly depressed. I am so very sad and cry all the time. I am often suicidal and am afraid that I might not make it through. I have been feeling this way for __________________ weeks. months, years. My other symptoms are _______________________________________________________________________ I would like to try an antidepressant and/or see a therapist as soon as possible. I feel so ashamed and I am too embarrassed to come in or even send this note. Is there anyway you could call me ? My Phone Number is _______________________________________________________ The Best Time to Call Me is _________________________________________________ Do I need to come in for an appointment ? or do I need a referral ? Thank You. Sincerely, ____________________________________________________ |
||||||||||||
|
_______________________
_____________________________________________________________________
Treatment | Stigma | The
Doctor | Chemistry |
Author's Treatment Page
_____________________________________________________________________
Suicidal.com | Text Only | Page Up | Site Map | Site Index | 2/11/06 | Contact | Links
Copyright© 1997-2009 by Melody Clark, Meadow Lark Press