If you are a minor I think she could tell your mom but I'm not sure. Whatever the condifentiality laws are she cant break.
You should try to answer the following questions in your letter:
What do I want help with?
What am I feeling thats making me want to seek out help?
Why you dont want your mom to know? how would you feel if she did know?
Are you in need of immediate help?
Can you give it to your doctor in person? If you dont want to or cant get to your doctor in person, see if she has an email address or mail it to her office. If you send the letter by email or mail make sure to include your contact information, whether its through email or whatever else, since you dont want your mom to know about it.
Take care
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