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.
| Case | Profession | Letter type | Level | Criterion in focus |
|---|---|---|---|---|
| Referral to Gastroenterology | Medicine | Referral | Intermediate | Purpose |
| Discharge to the GP after a Heart Attack | Medicine | Discharge | Proficient | Content |
| Discharge to the Community Nurse after Hip Surgery | Nursing | Discharge | Intermediate | Genre & Style |
| Transfer to a Residential Aged Care Facility | Nursing | Transfer | Proficient | Organisation & Layout |
| Advice Letter for a New Warfarin Patient | Pharmacy | Advice | Intermediate | Conciseness & Clarity |
| Referral to Orthopaedics for a Non-Progressing Knee | Physiotherapy | Referral | Intermediate | Content |
| Referral to Neurology for Migraine | Medicine | Referral | Beginner | Purpose |
| Discharge after Day-Case Surgery | Nursing | Discharge | Beginner | Organisation & Layout |
| Advice on a New Antibiotic Course | Pharmacy | Advice | Beginner | Genre & Style |
| Referral to Oral Surgery for an Impacted Wisdom Tooth | Dentistry | Referral | Intermediate | Content |
| Letter to the GP about a Malnourished Patient | Dietetics | Referral | Intermediate | Conciseness & Clarity |
| Complex Discharge of a Multimorbid Patient | Medicine | Discharge | Proficient | Conciseness & Clarity |
| OET Case Notes: OT Home Safety Referral (Beginner) | Occupational Therapy | Referral | Beginner | Organisation & Layout |
| OET Case Notes: OT Discharge to Aged Care Facility (Intermediate) | Occupational Therapy | Discharge | Intermediate | Content |
| OET Case Notes: Speech Pathology Dysphagia Referral (Beginner) | Speech Pathology | Referral | Beginner | Purpose |
| OET Case Notes: Radiography — Chest CT Findings Report (Intermediate) | Radiography | Referral | Intermediate | Conciseness & Clarity |
| OET Case Notes: Physiotherapy Post-Stroke Rehab Referral (Beginner) | Physiotherapy | Referral | Beginner | Content |
| OET Case Notes: Dentistry Periodontal Referral (Beginner) | Dentistry | Referral | Beginner | Genre & Style |
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.
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.
Pharmacy
OET for pharmacy →Advice Letter for a New Warfarin Patient
A pharmacist writes to a patient newly started on warfarin after a DVT.
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.
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.
Dietetics
OET for dietetics →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.
Speech Pathology
OET for speech pathology →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.
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How to practise with case notes
The five-step method that turns a case note into a Grade B letter.
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Annotated letter samples
See finished Grade B letters with full examiner annotations.
OET letter templates
Paragraph-purpose structures for every letter type.