Reply to a patient referral template

Referral Reply Letter

Date: Date

Dr Referring Doctor

Referring Facility

Dear Doctor,

Thank you for referring Patient Name, file no. Medical Record Number, on Referral Date. The patient was assessed in the Receiving Clinic clinic on Assessment Date.

Findings: Findings. Diagnosis: Diagnosis. Plan: Treatment Plan. We recommend Recommendations, and the next follow-up is on Follow-up Date.

With kind regards,

Treating Doctor: Treating Doctor

Specialty: Specialty

Signature: Signature