I too have never received a letter from A&E either.
I did occasionally get letters when I was living at home when I was getting referred to different services but the letters were sent too me and there was no outward sign as to who they had come from. I did request that my preferred method of contact was by phone so the letters sent were kept to the minimum.
Everything should be kept completely confidential.
We are here if you need someone to talk to.
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