It has come to my attention that my patient paul kent has been seeing you for psychotherapy once a week for the past three years. he has been seeing me off and on during the same period, usually for the treatment of injuries such as lacerations and broken bones, which are work-related injuries. mr. kent’s physical injuries have become increasingly serious during the past three years. with his permission, i enclose a copy of mr. kent’s file. i hope this information will assist you in treating the patient. yours truly.