The letters child psychiatry runs on, written in minutes.

Appeals to insurers, letters to schools, and the consent rules that differ in every state. Built by a child and adolescent psychiatrist for the paperwork that stands between a kid and the care they need.

Draft an appeal letter Consent law by state

Every generator runs in your browser. Nothing you enter is sent anywhere or stored, and no patient identifiers are asked for.

[Your name and degree]

Board-certified child and adolescent psychiatrist

[Practice or hospital]

[Direct phone and fax]

[Date]

Appeals Department
[Health plan name]
[Appeals address or fax]

Re: Expedited appeal: residential treatment for [Patient name], DOB [Date of birth], Member ID [Member ID], Reference [Denial or case reference number]

To the appeals reviewer:

I am a board-certified child and adolescent psychiatrist for [Patient name], a 15-year-old whom I have evaluated and treated. I am writing to appeal the plan's determination dated [Date of denial] denying residential treatment, and to request that the plan authorize residential treatment as requested.

I am requesting that this appeal be handled on an expedited basis. In my clinical judgment, applying the standard timeframe would seriously jeopardize the patient's life, health, or ability to regain maximum function. A physician's attestation that an appeal is urgent should be honored as such.

Clinical summary

[Patient name] carries a diagnosis of major depressive disorder. At present the patient reports active suicidal ideation with a plan and intent and cannot be kept safe at home despite a written safety plan and means restriction. [Add one to three sentences of specific clinical detail from your evaluation, with dates.]

The family cannot provide the continuous line-of-sight supervision that this level of risk requires; that is not a parenting failure but a practical limit that no household can meet indefinitely.

Appeal letters
When a plan denies care or a medication, the reply has to be clinical, specific, and on the plan's desk the same day. Structured questions, a letter written in your browser, and the parity and process rules that apply to that plan type.
All appeal letters
- Level-of-care appeal
  Inpatient, residential, PHP, or IOP denials
- Medication prior authorization
  Antipsychotics, stimulants under six, non-formulary agents
- Psychological and neuropsychological testing
  Denied testing authorizations
School letters
A glossary of 504 and IEP accommodations in plain language, with the sentence that usually goes into the plan, and the letters that ask the school for exactly what the student needs.
Glossary and all school letters
- 504 and IEP support letter
  With a one-page teacher summary
- Return-to-school letter
  After a hospitalization or a leave
- School-avoidance reintegration plan
  A stepped return, with a plan for home and school
- Homebound instruction request
  Instruction at home or at the program during treatment
Consent law
Whether a sixteen-year-old can consent to therapy on their own, what a parent is entitled to know, whether both divorced parents have to agree, and what the clinician must do when a minor discloses risk. By state, with the statute cited and linked to the official text.
All states

A draft, not a decision

Each letter leaves marked gaps for identifiers and the clinical detail only you have. You read it, fix it, and sign it. The judgment stays yours.

Sources you can check

Statutes and practice parameters are cited by name and linked to the official text, so you can read the source yourself before you rely on it.

Nothing to store

No accounts for the reference pages, no patient data anywhere. The only thing remembered is your own signature block, in your own browser.

The letters child psychiatry runs on, written in minutes.

Appeal letters

School letters

Consent law

A draft, not a decision

Sources you can check

Nothing to store