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1. Letter Header: Include referring doctor's details, practice information, date, and relevant contact information
2. Patient Demographics: Full name, date of birth, address, contact numbers, Medicare number, and any relevant healthcare identifiers
3. Recipient Details: Name and contact information of the healthcare provider to whom the letter is addressed
4. Purpose of Referral: Clear statement of the primary reason for the referral and expected outcomes
5. Clinical History: Relevant medical history, current condition, and progression of symptoms
6. Current Medications: Complete list of current medications, including dosages and duration
7. Allergies and Adverse Reactions: Documentation of known allergies and previous adverse reactions
8. Examination Findings: Relevant physical examination findings and vital signs
9. Investigation Results: Summary of relevant test results and investigations
10. Current Management: Overview of current treatment plan and interventions
11. Specific Request: Clear statement of what is being requested from the receiving practitioner
1. Social History: Include when social factors are relevant to the referral or impact patient care
2. Family History: Include when genetic or familial factors are relevant to the current condition
3. Occupational History: Include when work-related factors are relevant to the condition or management
4. Previous Specialist Care: Include when patient has received relevant specialist care for the condition
5. Mental Health Status: Include when mental health factors are relevant to the referral
6. Cultural Considerations: Include when cultural factors need to be considered in patient care
7. Interpreter Requirements: Include when language barriers exist and interpreter services are needed
1. Test Results: Copies of relevant pathology or imaging results
2. Medication Chart: Detailed medication history and current prescription details
3. Care Plan: Copy of current care plan if relevant to the referral
4. Previous Specialist Letters: Copies of relevant previous specialist correspondence
5. Investigation Reports: Detailed reports of relevant investigations
Healthcare
Medical Services
Primary Care
Specialist Medical Services
Allied Health
Public Health
Private Healthcare
Community Health
Medical Records
Clinical Administration
Front Office
Patient Services
Clinical Operations
Quality Assurance
Compliance
Healthcare Documentation
Primary Care
General Practitioner
Family Physician
Medical Officer
Practice Manager
Medical Secretary
Clinical Administrator
Healthcare Practice Manager
Medical Records Officer
Clinical Documentation Specialist
Medical Assistant
Practice Nurse
Clinical Coordinator
Medical Receptionist
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