I am writing this letter to request a modification to Ms. YY's Conditional Release Plan pursuant to Virginia Code Section 19.2-182.11. A therapy letter for court typically begins with the therapist's professional details, including their name, professional credentials, and contact information.Do not send this letter "as is. " It must be customized and the brackets, headings, and cover sheet removed. I am wondering, for court, if I have a letter from a therapist or a copy of a doctor's visit with written results and. Do not send this letter "as is. " It must be customized and the brackets, headings, and cover sheet removed. Sample Letter from a Psychotherapist to a Judge in a Child Custody Case. (Date). The Honorable (insert name of judge). Sample 2 – Child Custody Character Reference Letter. 1.