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Renal Physicians
Association

1700 Rockville Pike
Suite 220
Rockville MD 20852
Phone: 301-468-3515
Fax: 301-468-3511
EMail: rpa@renalmd.org
Consult Letter Template

Instructions for Downloadable Prototype Template

Downloading
To download the prototype Template:

  • Click on the link below
  • Save the Template to your computer by clicking on the save icon located in the upper left hand corner of the Adobe Acrobat Reader toolbar
  • Select your desktop or other desired location
  • Click <Save>

Next, open the Template file and use the drop down menus, fill-in windows, and check boxes to enter all requested information on pages 1 through 5.

Printing
Once all of the information has been entered, you must click on the "Print Letter" button on page 6 to print the letter to your printer. You can then review the hard copy, make any necessary changes, and reprint the final letter, again using the "Print Letter" button. (Please note: using normal print commands such as <File and Print>, <Control and P>, or pressing the printer icon will produce errors in formatting.)

Saving Final Letters
The patient information entered will not be stored or saved in this Template or on your computer once the application is closed. You will need to enter all data, generate the letter, and print it out before exiting the program. If you would like to save a copy of the final letter, you will need to copy and paste it into a word processing application, such as MS Word or WordPerfect. (To copy the letter, first click on the Text Select Tool on the Adobe Acrobat Reader toolbar, highlight the text, copy it and paste the letter directly into your document.)

Download the Prototype Nephrology Consult Letter Template
[859K, PDF format; Adobe Acrobat Reader required]

Feedback?
This tool is a prototype. We would appreciate your feedback as we continue to ensure that it meets the needs of nephrologists. Please contact Elisa Gladstone, Associate Director of the NKDEP, at gladstoneE@extra.niddk.nih.gov with comments and/or suggestions. If you experience technical difficulties, please contact dkwebmaster@extra.niddk.nih.gov.

Disclaimer
Medical or health information provided on this site is designed to support, not replace, the relationship that exists between a patient or site visitor and his/her physician. With respect to documents available from this website, neither the Renal Physicians Association nor any of its employees make any warranty, express or implied, including the warranty of fitness for a particular purpose, or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or represent that its use would not infringe privately owned rights. The physician utilizing this letter template is solely responsible for reviewing the generated letter for accuracy before transmittal.