Referal letter Ortho/GP

Dear Dr. [Physician], I am writing to you regarding my patient, [Patient], who presented with [primary complaint] in [their] [anatomical location]. This condition developed following [mechanism of injury/onset] on [date]. [Patient] first presented to me on [initial presentation date]. (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) My most recent assessment of [Patient] on [assessment date] revealed the following: (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) DIAGNOSIS: [Primary diagnosis/working diagnosis] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - Imaging/investigations: [if applicable] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) PRESENTING SYMPTOMS: - [Primary symptom and characteristics] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Functional limitations with specific measurements if applicable] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Impact on activities of daily living/sport/work] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) RELEVANT HISTORY: - Past medical history: [significant findings] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - Previous injuries/conditions: [if applicable] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) TREATMENT TO DATE: [Patient] has undergone [duration] of [treatment approaches]. This has included [specific interventions]. Their response to treatment has been [description of progress/plateau] over the last [timeframe]. (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Given [Patient]'s presentation and response to current management, I believe they would benefit from [proposed next steps/specialist review] to [intended outcome]. (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Please do not hesitate to reach out if you need any additional details on [Patient]'s case. I appreciate you taking the time to review and look forward to coordinating care. (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)