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1. Letterhead and Date: Professional letterhead with referring practitioner's details including practice number, contact information, and current date
2. Recipient Details: Name and contact details of the healthcare provider being referred to
3. Patient Information: Full name, date of birth, contact details, and medical aid information of the patient
4. Referral Purpose: Clear statement of the primary reason for referral and type of consultation or treatment needed
5. Clinical Information: Relevant medical history, current condition, symptoms, and duration
6. Current Treatment: Overview of current medications and treatments already attempted
7. Urgency Level: Indication of the urgency of the referral (routine, urgent, or emergency)
8. Closing and Signature: Professional closing, signature of referring practitioner, and practice stamp
1. Investigation Results: Summary of relevant test results, imaging reports, or laboratory findings - include when tests have been performed
2. Social History: Relevant social, family, or occupational factors that may impact care - include when these factors are pertinent to the case
3. Patient Consent Statement: Explicit statement of patient's consent for referral and information sharing - include when dealing with sensitive cases or when required by specific healthcare facilities
4. Insurance Pre-authorization: Details of any pre-authorization obtained from medical aid - include when required by the patient's medical scheme
5. Language Preferences: Patient's preferred language for communication - include when language barriers might exist
1. Recent Test Results: Copies of relevant recent laboratory results, imaging reports, or diagnostic findings
2. Medication List: Detailed current medication schedule including dosages and duration
3. Previous Medical Reports: Relevant previous specialist reports or hospital discharge summaries
4. Imaging Files: Digital copies or prints of relevant imaging studies
Healthcare
Medical Services
Allied Health Services
Private Medical Practice
Public Health
Medical Insurance
Specialist Medical Services
Primary Healthcare
Mental Health Services
Rehabilitation Services
Medical Administration
Clinical Operations
Patient Care
Healthcare Records
Practice Management
Clinical Governance
Quality Assurance
Medical Coordination
Patient Services
Healthcare Operations
General Practitioner
Medical Specialist
Healthcare Practice Manager
Medical Administrator
Clinical Director
Nurse Practitioner
Allied Health Professional
Medical Secretary
Practice Coordinator
Healthcare Facility Manager
Medical Records Officer
Clinical Operations Manager
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