General Practitioner Template
Referral Letter
A professional General Practitioner template for healthcare professionals.
About this template
Streamline your patient referral process with our comprehensive "Referral Letter" template, perfect for busy General Practitioners, specialists, and other medical professionals. This template is designed to capture all essential patient information, including demographics, a concise summary of the referral reason, relevant past medical history, current medications, and allergies. Easily generate clear and professional referral letters to ensure seamless communication between healthcare providers. With Heidi, this template intelligently extracts and organises information from your consultation notes, ensuring accuracy and saving valuable time. It's an ideal solution for anyone needing a robust medical referral form template to enhance their clinical documentation.
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01/11/2024
To: Dermatology Department
123 Skin Health Clinic, Dermatology Lane, London, SW1A 1AA
Dear Sir/Madam,
Re: Ms. Eleanor Vance, DOB: 15/03/1980
I am referring Ms. Eleanor Vance to your care for evaluation of a persistent, enlarging skin lesion on her left forearm.
This referral is urgent due to recent changes in size and colour of the lesion.
**SUMMARY:** Ms. Eleanor Vance presents with a pigmented lesion on her left forearm, first noticed approximately 6 months ago. Initially small and stable, it has recently shown rapid enlargement over the past 4 weeks, with reported changes in colour from light brown to dark brown with irregular borders. On examination, the lesion measures approximately 1.2 cm x 0.9 cm, is asymmetrical with variegated pigmentation, and appears slightly raised. There is no reported tenderness or bleeding. No regional lymphadenopathy was noted.
**Relevant Past Medical History:** None relevant.
**Medications:**
* Oral Contraceptive Pill (combined) - taken daily
* Paracetamol - as needed for occasional headaches
**Allergies:** No known drug allergies.
**Investigations:**
* None relevant to this referral prior to today's consultation.
Thank you for your assistance.
Yours sincerely,
Dr. Alice Chen
MBBS, MRCGP
City Family Practice
020 7946 0000 / alice.chen@cityfamilypractice.co.uk
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Specialty
General Practitioner
Used
10 times
Type
Note
Last edited
23/12/2025
Created by
Omar Smith