I agree with the multiple threads of comments here that there should be an easier way to do letters in PracticeQ, using your practice's letterhead. When you create a note template to send a letter, the final "print" appearance does not look like a professional letter from a healthcare office (no letter head, limited font selections, etc). All EMRs I've worked with in the past decade have a way you can write a freetext letter, on your organization's letterhead, within the EMR. To get a professional appearance for a letter using PracticeQ, I would have to write a letter in Word on my computer, save it as a PDF, and then re-upload it to the patient's record to share it with them or have it linked to their EMR record. This is clunky and time consuming.