Hi there,
It would be great if we could customise the font and layout in the letter template.
At the moment we find it much easier to just use a word document and upload a copy onto the patients file as a document rather than the letters function on cliniko.
Hi @Kirrilee, thank you for suggesting this! Improvements to letters are on our agenda. 
We don’t have an ETA right now, as there are a couple of other pretty big tasks we’re trying to finish up, but we’ve been talking about making letters better for a while now, as we know it’s needed.
I can’t say for certain what exactly will change, but overall “making them less clunky” is going to be what we’re going for! 
We’ll definitely let everyone know when improved letter functionality is available!
Emily