Read the following information.

Free OET Writing Sample Test with Answer Subtest Medicine #4


You must NOT remove OET material from the test room.

Occupational English Test




Read the case notes and complete the writing task which follows

Notes: Assume that today's date is 10 November 2021

You are a practitioner examining a 50-year-old male patient, Mr. David Mitchell.


Name: David Mitchell (Mr)

DOB: 25 July 1971

Address: 789 Oakwood Lane, Oakville

Marital Status: Married, 3 children (born 1995, 1998, 2003)

Occupation: Office Manager

Height: 180cm Weight: 88kg BMI: 27.2 (overweight 10/11/21)

Social History: Non-smoker, Occasional social drinker (wine with meals)

Substance Intake: Nil

Allergies: None known

Family History: Mother – breast cancer (survivor); Father – type 2 diabetes

Maternal grandmother – Alzheimer's disease; Maternal grandfather – unknown

Paternal grandmother – osteoporosis; Paternal grandfather – heart disease

Previous Medical History: None of significance

Presenting Complaint: Chronic lower back pain for the past six months, worsened over time, no recent trauma

Provisional Diagnosis: Chronic non-specific lower back pain

Plan: Recommend physical therapy, lifestyle modifications, and ergonomic assessments at work.

Writing Task:

Using the information in the case notes, write a letter of referral for physical therapy to Ms. Sarah Turner, a physical therapist at Oakville Physical Therapy Center, 567 Elm Street, Oakville. In your answer:

  • Expand the relevant notes into complete sentences

  • Do not use note form

  • Use letter format

The body of the letter should be approximately 180–200 words.

Ms. Sarah Turner

Oakville Physical Therapy Center

567 Elm Street



10 November 2021


Dear Ms. Turner,


Re: Mr. David Mitchell, DOB 25.7.1971


This letter is in reference to Mr. David Mitchell, a 50-year-old office manager, who has been experiencing chronic lower back pain for the past six months. The pain has progressively worsened, despite the absence of recent trauma.

Mr. Mitchell's medical history is unremarkable, and he reports no allergies or substance intake. However, his family history includes his mother's battle with breast cancer (currently a survivor) and his father's diagnosis of type 2 diabetes. His grandparents have also experienced various health conditions, including Alzheimer's disease, osteoporosis, and heart disease.

As an office manager, Mr. Mitchell's work primarily involves prolonged periods of sitting, which may contribute to his condition. His BMI of 27.2 indicates that he is overweight.

Presently, Mr. Mitchell is provisionally diagnosed with chronic non-specific lower back pain. I believe that physical therapy, along with lifestyle modifications and ergonomic assessments at work, would be beneficial in managing his symptoms and improving his overall quality of life.

I kindly request your expertise in evaluating and treating Mr. Mitchell's chronic back pain. Please do not hesitate to contact me if you require any additional information or have specific questions regarding his case.

Thank you for your attention to this matter.


Yours sincerely,


TIP : Allocate time wisely during the OET test, maintaining a balance between tasks to maximize efficiency.