Clinical Letters & Correspondence Templates

Clinical letters are among the most frequently requested — and most ethically complex — documents therapists produce. Clients regularly ask for accommodation letters, disability documentation, court letters, emotional support animal letters, and school recommendations. Each type carries unique ethical considerations, legal implications, and formatting requirements that many clinicians were never taught in graduate school.

What You'll Find Here

This section provides templates and writing guides for every type of clinical letter:

• Insurance letters — medical necessity letters, prior authorization requests, insurance appeal letters, and single case agreement requests
• Accommodation letters — ADA workplace accommodations, FMLA support, school 504 plan support, college disability services letters, and housing support letters
• Legal letters — letters to courts, probation/parole officers, therapy completion certificates, and jury duty exemption letters
• Referral and coordination letters — referral letters, letters to primary care physicians, treatment summary letters, and care transfer documentation
• Specialty letters — ESA letters with ethical guidance, gender-affirming care letters (WPATH-aligned), return-to-work letters, and academic withdrawal support letters

Each page includes a complete sample letter, ethical considerations specific to that letter type, what to include (and what to leave out), and guidance on maintaining appropriate therapeutic boundaries when writing on behalf of clients.

Ethical Considerations

Writing clinical letters requires balancing client advocacy with professional ethics. You must stay within your scope of competence, avoid making statements beyond what your clinical data supports, and maintain the distinction between your role as a treating clinician and that of a forensic evaluator. Our templates address these ethical nuances directly, so you can write confidently and appropriately.