Referral Letters
GP Referral Letter Triage
Please note: you can download direct access diagnostics forms below.To facilitate effective triage, GPs are recommended to include the following information in referral letters.
- Specialty/sub-specialty that patient is being referred to
- Referrer details
- GP Name
- Practice name
- Address
- Telephone number
- Date of referral
- Patient details
- Name
- Sex
- Date of birth
- NHS number
- Address
- Telephone number (daytime or mobile if possible)
- Medical history
- Current medication
- Significant history, including previous consultations for the same condition, name of consultant seen previously
- Active problems
- Clinical information
- Referral priority (urgent/routine)
- Reason for referral
- Preliminary investigations and results
(including management appropriate to reason for referral) - Information regarding special/social circumstances
(Does patient have hearing, visual, mental health difficulties or mobility impairment? Is an interpreter needed?)