Instead of using the internal letter writer, my understanding is that best practice was to keep your templates in wordpad, MSword or whatever your word processor of choice and then print to PDF and save to chart. Similar to what is done for flowsheets.
For specialists and consult documentation, the practice I remember was to print an encounter in the SOAP format and then just send that with any cover letter you might have. See previous post by Travis on
SOAP note format
