GuLFOMBattachment13REVISEDAppendix_O_-_Physician_Notification_Letter

Appendix O:

Physician Notification Letter

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LETTER – physician notification of RESULTS
(Version 0.6)

«TITLE» «PHYSICIAN FIRST» «PHYSICIAN LAST»
«PRACTICE NAME»
«STREET ADDRESS 1»
«STREET ADDRESS 2»
«CITY», «STATE» «ZIP CODE»
«DATE»
Dear «TITLE» «PHYSICIAN LAST»:
Your patient, «TITLE» «PARTICIPANT FIRST» «PARTICIPANT LAST», recently participated in
the GuLF Study, which is examining the potential short-term and long-term health effects
associated with oil spill clean-up activities in the Gulf of Mexico. The study is being conducted
by the National Institute of Environmental Health Sciences.
We recently conducted a number of research assessments during a study visit with «TITLE»
«PARTICIPANT LAST», which included measurement of body mass index, blood pressure,
urinary glucose, «NON-BIOMEDICAL SUBCOHORT: and pulmonary function testing /
BIOMEDICAL SUBCOHORT: pulmonary function testing, and complete blood count.» We have
shared the results of the assessments with «TITLE» «PARTICIPANT LAST» in the form of a
report with findings and recommendations, which included a recommendation to seek your
advice about the findings. We have obtained «his/her» consent to share the results with you.
Our research assessments revealed clinical abnormalities that may need your attention. Those
results are highlighted in bold in the attached report.
If you have any questions about the study or «TITLE» «PARTICIPANT LAST» results, please
call the study center toll-free at 1-855-NIH-GULF (1-855-644-4853). Our hours are Monday
through Saturday (9am – 9pm) and Sunday (12pm – 6pm) Eastern Time [TIME ADJUSTED TO
LOCAL TIME ZONE]
Sincerely,
Dale Sandler
Principal Investigator
National Institute of Environmental Health Sciences
National Institutes of Health
Enclosure – Report of Findings for «TITLE» «PARTICIPANT FIRST» «PARTICIPANT LAST»,
«Enclose same report that was sent to the participant.»

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