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FREE TEMPLATE - Letter to Medical Provider

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Need to share important information about your dissociative identity disorder (DID) diagnosis or experiences with a medical provider, but not sure how to start? This free, editable letter template is designed to make that process easier.


The template provides a respectful, professional framework you can personalize with your name, provider’s information, and any details you wish to share. It helps communicate clearly about DID in a medical setting, reducing the stress of explaining from scratch.


Use it as a starting point to:

  • Introduce your provider to DID in a supportive, straightforward way
  • Clarify what you’d like them to know about your experiences
  • Advocate for compassionate, informed care


This resource is fully editable (Word/Google Docs format), so you can adjust language and details to reflect your own needs and comfort level.

You will get a DOCX (19KB) file