Dr Mitesh Parmar

A usable letter is written to a question, not as a diagnosis certificate. Almost every rejected medical letter was truthful. That is what makes the pattern worth understanding. Letters rarely fail because a doctor wrote something untrue. They fail because the document did not do the job the reader needed doing, and the reader had

The work is a structured assessment, not advocacy dressed as medicine. Medical evidence in criminal proceedings is usually discussed in terms of fitness to plead or sentencing. There is a quieter point where a psychological letter changes someone’s daily life far more directly, and it is barely discussed at all: bail conditions, and curfews in

What can this person actually do, on a typical day, not on their best day. A disability supporting letter is read by someone who is not a doctor, deciding something that is not a medical question. Once you hold that thought, most of what makes these letters succeed or fail becomes obvious. The reader does