Generic Referral Letter

[Today's date] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Dear [Name and title of the clinician the letter is addressed to], (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Re: [Patient's full name] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Date of Birth: [Date of birth and calculated age in years] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) File: [File number] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) "Thank you for seeing the patient below." [Opening sentence including the patient's full name, known medical conditions, known allergies, previous surgical procedures, and current medications including prescription, over-the-counter, and supplements] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Begin with "I am writing to refer my patient," and write in full sentences.) [History of presenting complaint including current concerns or symptoms, clinical context, relevant background to the issue, and discussion topics covered] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Begin with "They presented to me today with the following problem which includes" and write in full sentences.) "Your expertise would be greatly appreciated in assisting with further management strategies for this patient." "Thank you for your attention to this matter." "Yours sincerely," [Clinician full name and title] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) [Clinician specialty] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) [Clinician qualifications] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) [Clinician medical practice number] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) [Clinician practice registration number] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.)