The practice of sending copies of General Practitioners (GPs) letters to patients is not new. As a team in Geriatric and general internal medicine in a rural secondary referral hospital, we asked patients for feedback on how they felt about copies of their GPs letters being sent to them. 126 (96%) of patients were not frightened by the letter. 110(85%) would prefer to continue receiving these letters. Patients in a rural setting want to receive letters about their own medical care.