This guide is for sending with Gentu after you have completed the install/setup process and have confirmed the Delivery Report loads on the client's machine.
It's usually a good idea to create a test patient to use during training.
Once on the letter creation page, you can make sure the correspondence is correct and select the recipient.
If the recipient does not have "Medical Objects" next to their name the message will not be sent through Medical Objects and you may have to either update their address book entry or re-add them as the recipient of the message.