Free OET Practice Resources
OET Case Notes Library
Realistic 2026 OET writing case notes across professions and difficulty levels, from beginner to proficient. Every case has the full notes, the writing task, and a clear breakdown of what to include and what to cut. Read it on the page or download the branded PDF.
In short
- Realistic 2026 OET case notes across six professions and three practice-complexity levels, each a full scenario with a writing task.
- Every case shows what an examiner expects you to include and what to leave out, mapped to the six OET criteria.
- Each case downloads as a free branded PDF; the complete pack is one email away.
The library at a glance
Levels reflect practice complexity — how many distractors and how much clinical density a case carries — not OET tiers. OET is a single B2-level exam; the levels just help you build from clean structure on simple cases to ruthless selection on dense ones.
Medicine
OET for medicine →Referral to Gastroenterology
A doctor receives case notes for a 62-year-old man with two months of rectal bleeding and weight loss, and must refer him urgently to gastroenterology.
Discharge to the GP after a Heart Attack
A doctor discharges a 59-year-old man to his GP after a non-ST-elevation myocardial infarction.
Referral to Neurology for Migraine
A doctor refers a 29-year-old woman with worsening migraine to neurology after first-line treatment fails.
Complex Discharge of a Multimorbid Patient
A doctor discharges an 84-year-old man with several chronic conditions, a new diagnosis and a long medication list to his GP.
Transfer to Nephrology for Worsening CKD
A general physician transfers a 67-year-old man with rapidly worsening CKD Stage 4, new anaemia of CKD, and difficult blood pressure control to the nephrology unit.
Advice Letter for Newly Diagnosed Hypertension
A GP writes an advice letter to a 58-year-old patient newly diagnosed with hypertension, explaining the new medication, the lifestyle changes required, and the monitoring plan.
Discharge to GP after a Hypoglycaemic Episode
A doctor discharges a 52-year-old man with type 2 diabetes to his GP after a hospital admission for a hypoglycaemic episode.
Urgent Referral to Cardiology for Exertional Chest Pain
A GP refers a 55-year-old woman with new exertional chest pain, new ST changes on ECG and a significant cardiovascular risk cluster urgently to cardiology.
Transfer to Orthopaedics for a Hip Fracture with Medical Complexity
An emergency physician transfers an 80-year-old woman with a fractured neck of femur and significant medical complexity to the orthopaedic registrar.
Nursing
OET for nursing →Discharge to the Community Nurse after Hip Surgery
A nurse discharges an 82-year-old woman to the community nurse after surgery for a fractured neck of femur.
Transfer to a Residential Aged Care Facility
A nurse transfers a 79-year-old man with advanced dementia from a hospital ward to a residential aged care facility.
Discharge after Day-Case Surgery
A nurse discharges a 54-year-old man home the same day after a routine hernia repair.
Referral to GP for a COPD Exacerbation
A community nurse refers a 69-year-old man with a moderately severe COPD exacerbation to his GP for urgent review and consideration of hospital admission.
Referral to Physiotherapy for Post-Operative Mobilisation
A ward nurse refers a 58-year-old woman on day 2 post-total knee replacement to physiotherapy for an early mobilisation assessment.
Urgent Referral for Suspected Sepsis in an Elderly Patient
A residential aged care nurse makes an urgent referral for an 82-year-old resident who has deteriorated rapidly with clinical features consistent with sepsis.
Advice Letter on Wound Care after Discharge
A ward nurse writes an advice letter to a 48-year-old patient explaining how to care for his surgical wound at home after an appendicectomy.
Transfer to Cardiac Rehabilitation after a Heart Attack
A cardiac ward nurse transfers a 56-year-old man to the cardiac rehabilitation nurse following a non-ST-elevation myocardial infarction and drug-eluting stent.
Advice Letter on Starting Insulin Injections
A diabetes nurse writes an advice letter to a 61-year-old woman who is starting insulin injections for the first time after her type 2 diabetes can no longer be controlled by tablets.
Pharmacy
OET for pharmacy →Advice Letter for a New Warfarin Patient
A pharmacist writes to a patient newly started on warfarin after a DVT.
Advice on a New Antibiotic Course
A pharmacist writes to a patient starting nitrofurantoin for a urinary tract infection.
Referral to GP after a High Blood Pressure Reading
A community pharmacist refers a 52-year-old man to his GP after two opportunistic blood pressure readings on the same day are both above the referral threshold.
Referral to GP for a Drug Interaction with Warfarin
A community pharmacist refers a 64-year-old woman to her GP after identifying that the amoxicillin-clavulanate newly prescribed for a dental infection is likely to significantly increase her warfarin INR, raising her bleeding risk.
Referral to GP for Polypharmacy Review in an Elderly Patient
A community pharmacist refers an 81-year-old man to his GP after an annual medication use review identifies three concerns in a twelve-medication regimen: a likely NSAID-related renal decline, a potentially unnecessary proton-pump inhibitor, and a duplicate beta-blocker indication.
Advice Letter for a Patient Starting Methotrexate
A rheumatology pharmacist writes an advice letter to a 49-year-old woman starting methotrexate for newly diagnosed rheumatoid arthritis.
Advice Letter on Using a New Inhaler for COPD
A pharmacist writes an advice letter to a 66-year-old man who has been prescribed a new dry-powder combination inhaler for COPD.
Discharge Medication Advice after a Heart Attack
A hospital pharmacist writes a discharge medication advice letter to a 61-year-old man going home after a non-ST-elevation myocardial infarction.
Discharge Medication Advice for a Patient Starting Metformin
A community pharmacist writes a discharge advice letter to a 54-year-old woman newly diagnosed with type 2 diabetes who is starting metformin for the first time.
Physiotherapy
OET for physiotherapy →Referral to Orthopaedics for a Non-Progressing Knee
A physiotherapist refers a 45-year-old runner to an orthopaedic surgeon after a knee injury fails to respond to a structured rehabilitation programme.
OET Case Notes: Physiotherapy Post-Stroke Rehab Referral (Beginner)
A community physiotherapist writes to a GP following the initial assessment of a 66-year-old one month after ischaemic stroke.
Discharge to Community Physio after Total Hip Replacement
An inpatient physiotherapist discharges a 68-year-old woman to the community physiotherapist on day 7 after a total hip replacement.
Complex Discharge to Community Physio after Stroke
An inpatient physiotherapist discharges a 72-year-old man with complex neurological deficits following an ischaemic stroke to the community physiotherapist on day 21.
Transfer to an Inpatient Rehabilitation Unit
An acute physiotherapist transfers a 65-year-old man with an incomplete spinal cord injury from the acute surgical ward to an inpatient rehabilitation unit on day 14.
Referral to Pain Clinic for Chronic Low Back Pain
A physiotherapist refers a 47-year-old woman with chronic low back pain and signs of central sensitisation to a specialist pain clinic after a 16-week course of evidence-based physiotherapy.
Advice Letter on Home Exercises for a Rotator Cuff Strain
A physiotherapist writes an advice letter to a 38-year-old man explaining the home exercise programme for a rotator cuff strain sustained during sport.
Discharge Letter after Pulmonary Rehabilitation
A physiotherapist writes a discharge letter to the GP following a 70-year-old man's completion of a 6-week pulmonary rehabilitation programme for COPD.
Advice Letter for ACL Rehabilitation after Reconstruction
A physiotherapist writes an advice letter to a 27-year-old woman following anterior cruciate ligament reconstruction, explaining the phase 1 home rehabilitation programme, the precautions to observe, and when to contact the clinic..
Transfer to Outpatient Physiotherapy for Complex Spinal Pain
An inpatient rehabilitation physiotherapist transfers a 51-year-old man with complex chronic thoracolumbar pain — compounded by obesity and low mood — to outpatient physiotherapy on discharge.
Dentistry
OET for dentistry →Referral to Oral Surgery for an Impacted Wisdom Tooth
A dentist refers a 24-year-old with a recurrently infected, impacted lower wisdom tooth to an oral and maxillofacial surgeon for removal.
OET Case Notes: Dentistry Periodontal Referral (Beginner)
A general dentist writes to a periodontist referring a 45-year-old with generalised moderate chronic periodontitis inadequately controlled by initial scaling and root planing.
Discharge Advice after a Tooth Extraction
A dentist writes a discharge advice letter to a 32-year-old man following a simple mandibular molar extraction.
Referral to an Endodontist for Root Canal Re-treatment
A general dentist refers a 45-year-old woman to an endodontist for root canal re-treatment of an upper left first molar with persistent periapical pathology following a previous root canal.
Advice Letter to a Patient Starting Fixed Orthodontic Braces
An orthodontist writes an advice letter to a 16-year-old at the start of fixed orthodontic appliance therapy.
Transfer to Special Care Dentistry for a Patient with Complex Needs
A general dental practitioner transfers a 58-year-old man with significant medical complexity, severe dental anxiety, and multiple treatment needs to a special care dental service.
Referral to OMFS for a Suspicious Oral Lesion
A general dental practitioner refers a 63-year-old man with a non-healing left lateral tongue ulcer, confirmed risk factors, and clinical features suspicious for malignancy to an oral and maxillofacial surgeon for urgent biopsy.
Discharge Advice after Dental Implant Placement
A dental implant surgeon writes a discharge advice letter to a 51-year-old woman following single implant placement in the upper right premolar region.
Advice Letter for a Patient Receiving Their First Complete Denture
A dentist writes an advice letter to a 71-year-old man who has just received his first complete lower denture.
Discharge to GP following Oral Surgery with Anticoagulation Complication
An oral surgeon writes a discharge letter to the GP following a complex lower third molar extraction in a 67-year-old man on warfarin, where prolonged post-operative bleeding required haemostatic intervention.
Dietetics
OET for dietetics →Letter to the GP about a Malnourished Patient
A community dietitian writes to a patient's GP to hand over the nutritional management of an undernourished 76-year-old after weight loss.
Discharge to GP following Inpatient Malnutrition Management
A hospital dietitian discharges a 74-year-old woman to the GP following inpatient nutritional rehabilitation for malnutrition secondary to oesophageal cancer.
Advice Letter to a Patient Newly Diagnosed with Coeliac Disease
A dietitian writes an advice letter to a 34-year-old woman newly diagnosed with coeliac disease, explaining the lifelong gluten-free diet, what foods to avoid, the cross-contamination risk, and how to read food labels.
Referral to a Renal Dietitian for Advanced Chronic Kidney Disease
A general dietitian refers a 62-year-old man with rapidly progressing CKD Stage 4 to a specialist renal dietitian.
Transfer to Community Dietitian for Post-Bariatric Nutritional Support
A hospital dietitian transfers a 41-year-old woman from inpatient to community dietitian care at 6 weeks post Roux-en-Y gastric bypass.
Advice Letter for a Patient with Heart Failure on a Fluid and Salt Restriction
A hospital dietitian writes an advice letter to a 69-year-old man newly diagnosed with heart failure explaining the fluid restriction to 1.5 litres per day and a sodium target of 2 g/day.
Referral to an Eating Disorder Specialist Dietitian
A general dietitian refers a 19-year-old woman with significant weight loss, restricted eating, and food anxiety consistent with an eating disorder to a specialist eating disorder dietitian.
Advice to GP on Nutritional Management of an Elderly Patient with Multiple Conditions
A community dietitian writes a clinical advice letter to the GP on the nutritional management of an 82-year-old man with overlapping and conflicting nutritional requirements: protein-energy malnutrition requiring supplementation, heart failure requiring fluid and sodium restriction, and type 2 diabetes requiring carbohydrate management.
Discharge to GP after Bariatric Surgery Dietary Programme
A specialist bariatric dietitian discharges a 44-year-old man to the GP following a 6-month post-sleeve gastrectomy dietary rehabilitation programme.
Occupational Therapy
OET for occupational therapy →OET Case Notes: OT Home Safety Referral (Beginner)
An occupational therapist writes to a patient's GP following a home safety assessment that identified moderate fall risk.
OET Case Notes: OT Discharge to Aged Care Facility (Intermediate)
An inpatient OT discharges a 74-year-old to a residential aged care facility following right hip replacement.
Occupational Therapy — Referral to Community OT after Stroke Discharge
An inpatient occupational therapist refers a 67-year-old man who has been discharged home after a stroke to the community OT for a home assessment and ADL rehabilitation programme.
Occupational Therapy — Advice Letter on Joint Protection for a Patient with Rheumatoid Arthritis
An occupational therapist writes an advice letter to a 46-year-old woman with newly diagnosed rheumatoid arthritis explaining the joint protection principles for daily activities involving the wrists and hands.
Occupational Therapy — Transfer to Burns Rehab OT for Upper Limb Contracture Prevention
An acute care occupational therapist transfers a 29-year-old man with significant bilateral upper limb burns from the acute burns unit to specialist burns rehabilitation OT.
Occupational Therapy — Discharge to Community OT after Cardiac Surgery
An inpatient occupational therapist discharges a 72-year-old man to the community OT following coronary artery bypass graft surgery.
Occupational Therapy — Referral for a Driving Assessment after Traumatic Brain Injury
An inpatient occupational therapist refers a 40-year-old man with cognitive and processing deficits following a traumatic brain injury to a specialist driving assessment centre OT.
Occupational Therapy — Discharge to GP after Total Hip Replacement
An occupational therapist discharges a 74-year-old woman to the GP following a total hip replacement.
Occupational Therapy — Advice Letter on Energy Conservation for a Patient with Multiple Sclerosis
An occupational therapist writes an advice letter to a 39-year-old woman with relapsing-remitting multiple sclerosis on energy conservation strategies for managing daily fatigue.
Occupational Therapy — Transfer to Dementia Care OT for a Patient Moving to Memory Care
A community occupational therapist transfers a 78-year-old woman with moderate Alzheimer's disease from community home support to the OT team of a new memory care facility.
Speech Pathology
OET for speech pathology →OET Case Notes: Speech Pathology Dysphagia Referral (Beginner)
A speech pathologist writes to an ENT surgeon requesting videofluoroscopy for a 58-year-old with two months of progressive solid-food dysphagia.
Speech Pathology — Discharge to GP after Voice Therapy
A speech-language pathologist discharges a 35-year-old primary school teacher to the GP following a 6-week voice therapy programme for muscle tension dysphonia.
Speech Pathology — Advice Letter on Safe Swallowing after a Stroke
A speech-language pathologist writes an advice letter to a 77-year-old stroke patient and her family on safe swallowing strategies at home following a hospital admission.
Speech Pathology — Transfer to Inpatient Rehabilitation for Post-Laryngectomy Voice
An acute care speech-language pathologist transfers a 58-year-old man who has had a total laryngectomy and tracheoesophageal puncture (TEP) to a specialist inpatient rehabilitation speech pathologist.
Speech Pathology — Referral to Specialist AAC Service for a Non-verbal Adult
A speech-language pathologist refers a 24-year-old non-verbal man with autism spectrum disorder and moderate intellectual disability to a specialist augmentative and alternative communication (AAC) service for device assessment.
Speech Pathology — Discharge to Community Stroke Team after Aphasia Rehabilitation
An inpatient speech-language pathologist discharges a 61-year-old man with moderate expressive aphasia following a stroke to the community stroke team SLP.
Speech Pathology — Advice Letter to an Adult who Stammers on Starting Therapy
A speech-language pathologist writes an advice letter to a 28-year-old man who stammers, following his initial assessment, explaining the therapy approach, the self-management strategies introduced, and what to practise before the next session.
Speech Pathology — Referral to MND Specialist SLP for AAC Assessment
A community speech-language pathologist refers a 54-year-old woman with motor neurone disease and progressive dysarthria to a specialist MND SLP for proactive augmentative and alternative communication (AAC) assessment.
Speech Pathology — Transfer to School-Based SLP for a Child with Language Delay
A community speech-language pathologist transfers a 5-year-old boy with developmental language disorder to the school-based SLP at his new primary school.
Speech Pathology — Advice Letter to a Professional Singer with Vocal Nodules
A speech-language pathologist writes an advice letter to a 32-year-old professional soprano with bilateral vocal nodules, explaining the 6-week therapy programme, the voice hygiene requirements, and the staged return-to-performance plan.
Radiography
OET for radiography →OET Case Notes: Radiography — Chest CT Findings Report (Intermediate)
A radiographer reports CT chest findings to a referring respiratory consultant for a 62-year-old ex-smoker with an incidental 12 mm solitary pulmonary nodule.
Referral for a CT Abdomen in a Patient with Unexplained Weight Loss
A GP registrar refers a 66-year-old man for urgent CT abdomen and pelvis investigation of unexplained weight loss, abdominal pain, and a significantly elevated CEA level.
Discharge Advice to a Patient after an MRI with Contrast
A radiographer writes a discharge advice letter to a 48-year-old woman following an MRI brain scan with gadolinium contrast.
Transfer Communication for Urgent Portable X-ray Findings
A radiographer in an intensive care unit writes an urgent clinical communication to the on-call consultant radiologist regarding new findings on a portable chest X-ray of a critically ill 61-year-old man.
Advice Letter on Preparation for a CT Scan with Oral Contrast
A radiographer writes an advice letter to a 57-year-old woman explaining how to prepare for a CT abdomen and pelvis with oral contrast scheduled in 5 days.
Referral for an MRI Lumbar Spine in a Patient with Red-Flag Low Back Pain
A GP refers a 58-year-old man with red-flag low back pain, constitutional symptoms, and a history of renal cell carcinoma for urgent MRI lumbar spine to exclude spinal metastasis.
Referral for a Chest X-ray in a Patient with a Persistent Cough
A GP writes a routine referral for a chest X-ray for a 52-year-old ex-smoker with a 6-week productive cough and two episodes of haemoptysis.
Discharge to GP after Fluoroscopic Swallowing Study Findings
A radiographer reports to the GP following a video fluoroscopic swallowing study in a 68-year-old man with dysphagia, identifying silent aspiration of thin fluids and requesting urgent referral to a speech pathologist.
Advice Letter to a Patient Concerned about Radiation from Repeated CT Scans
A radiographer writes an advice letter to a 45-year-old woman with Crohn's disease who has expressed significant concern about the radiation dose from her repeated CT scans.
Discharge to GP after CT-Guided Biopsy with Pneumothorax Complication
An interventional radiologist writes a discharge letter to the GP following a CT-guided percutaneous lung biopsy in a 63-year-old man, complicated by a small right-sided pneumothorax managed conservatively.
How to practise with case notes
More practice without feedback rarely lifts a candidate from Grade C to Grade B. Practising the right way matters more than practising more.
Read twice
Once for clinical understanding. Once to identify recipient, letter type, and purpose. Spend 5 minutes.
Highlight what's relevant
Mark only what the recipient needs to act on. Cross out irrelevant social details, unrelated history, and anything that doesn't affect the recipient's decision.
Sketch a four-paragraph structure
Opening (purpose), background (relevant history), current situation, request and closing. Decide which case-note items go in which paragraph before writing.
Write in 30 minutes
Aim for 185 to 195 words. Don't pause to perfect a sentence. Editing is faster than drafting.
Submit for correction
Self-review only catches surface errors. The patterns blocking Grade B are usually invisible to the writer. Three to five corrected letters typically reveal them.
Turn this into real practice
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