Referral Letter from the ED_ES

Dear Dr [Insert Lastname of clinician the letter is addressed to] [insert speciality], Thank you for seeing [Patient's Full Name] for further evaluation and management. [Patient pronoun] presented to Emergency Department today ([insert date]) with [describe main complaint, reason for emergency department visit, history of presenting complaints] (only include describe current issues, reasons for referral, history of presenting complaints if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) [Patient's prefix] [Patient's Lastname]'s relevant medical history includes [describe past medical history, previous surgeries] (only include describe past medical history, previous surgeries if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) and is currently using [mention medications and herbal supplements] (only include mention medications and herbal supplements if it has been transcript, contextual notes explicitly mentioned in the or clinical note, otherwise omit completely.) Assessment: [describe diagnoses] Relevant examination findings included [describe relevant examination findings] (only include describe relevant examination findings if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) Investigations and management done in the emergency department included [relevant investigations and results] (only if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) and [management and treatment plan provided to date] (only include describe management and treatment plan provided to date if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.) 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's title, name and surname] [Clinician type/Specialty] (Never make up any details about the clinician, the patient and the patients medical history, examination findings, assessment, diagnoses or management plan.)