Dear Dr. Johnson, I am writing to refer Mrs. Emily Thompson, a 32-year-old primigravida, for antenatal care. Mrs. Thompson has recently confirmed her pregnancy and requires comprehensive prenatal management. Given her medical history and current pregnancy status, I believe she would benefit from your expertise in obstetrics. Please find below the relevant patient information and medical details to assist in her care. Patient Information • Name: Emily Thompson • Date of Birth: 15/09/1991 • Address: 123 Maple Street, Riverdale, NY 10463 • Contact Number: (718) 555-1234 Current Pregnancy • LMP: 03/01/2023 • EDD: 10/08/2023 • Ultrasound findings: Viable intrauterine pregnancy, CRL consistent with 8 weeks gestation Obstetric History • G1P0 • No previous pregnancies or miscarriages Medical History • Mild asthma, well-controlled • Appendectomy (2015) • Allergic to penicillin Family History • Maternal: Hypertension • Paternal: Type 2 diabetes Medications • Albuterol inhaler (as needed) • Prenatal vitamins Social and Demographic Data • Occupation: Elementary school teacher • Non-smoker • No alcohol consumption since pregnancy confirmation • No recreational drug use Mrs. Thompson has undergone initial blood work, including a complete blood count, blood type, and Rh factor. Her pap smear is up to date, performed six months ago with normal results. I have also requested routine first-trimester screening tests, including HIV, hepatitis B, and rubella antibody titers. Thank you for accepting this referral. Please do not hesitate to contact me if you require any additional information or have any concerns regarding Mrs. Thompson's care.

Thank you for referring John Doe to our clinic for lower back pain. John Doe's initial appointment was on 15th May 2023. John Doe presented with: • Severe lower back pain, rated 8/10 on the pain scale • Limited range of motion in lumbar spine, particularly in flexion • Positive straight leg raise test at 45 degrees • Decreased sensation in L5 dermatome of left foot The plan with physiotherapy is: manual therapy for the lumbar spine to improve mobility and reduce pain, home-based core strengthening exercises, and a progressive walking program to improve overall function and endurance. If you have any questions regarding John Doe's physiotherapy, please do not hesitate to contact me on 0412 345 678. Thank you again for referring John Doe.

Home: • The patient resides at 123 Maple Street, Suburbia, with her parents and younger sister • Recent changes include moving to a new school district 6 months ago • Reports increased stress due to academic pressure and making new friends • Spends approximately 4 hours daily on social media and gaming Education & Employment: • Currently enrolled as a junior at Suburbia High School • Maintains a B average but struggling in mathematics • Part-time job at local grocery store (10 hours/week) • Plans to apply to state universities next year Eating & Exercise: • Weight: 65 kg, height: 165 cm • Skips breakfast regularly, tends to snack late at night • Participates in school soccer team, practices 3 times/week • Menstrual cycles regular, every 28-30 days Activities: • Member of school drama club, rehearsals twice weekly • Plays guitar as a hobby, self-taught • Screen time averages 6 hours daily (including homework) Drugs & Alcohol: • Denies personal use of alcohol or drugs • Reports some friends experimenting with marijuana at parties • No known substance use in immediate family Sexuality & Gender: • Identifies as female, uses she/her pronouns • Currently in a 6-month relationship with male classmate • Sexually active, uses condoms for contraception • No history of pregnancies or STIs Suicide, Depression & Self-Harm: • Reports feeling overwhelmed and sad occasionally • Sleep disturbances: difficulty falling asleep, averages 6 hours/night • Denies self-harm behaviors or suicidal ideation • No history of diagnosed mental health conditions Safety: • No serious injuries in past year • Reports being cautious about online privacy • No exposure to domestic violence or abuse • No involvement in criminal activities