Skip to content

Medical Referral Letter Samples

    Date:
    Subject: Referral for High-Risk Pregnant Patient

    Dear Dr. [doctor name], I hope this letter finds you well. I am writing to request a referral for my patient [patient name], who is [mention number of weeks of pregnancy] weeks pregnant. She is a 40-year-old with one previous normal delivery without any complications. However, this time, it has come to my attention that her pregnancy is presenting some complications for which [mention hospital name] does not have the necessary equipment or capabilities.

    [Patient name] is presenting symptoms of [briefly mention complications or condition], which makes her pregnancy high-risk. Her current condition leads us to believe she requires constant monitoring, specialized care, and medical experts, which we at [hospital name] currently lack.

    After assessing all the options, we believe it would be best for [patient name] to be referred to your care in [hospital name]. We have full confidence in your expertise and see that [hospital name] would be the most convenient to [patient name] and have all the necessary resources and monitoring that she requires.

    I would request that you please accommodate [patient name] as a patient in your hospital and provide her with the necessary monitoring and care that she requires for the rest of her pregnancy until delivery. Without the necessary monitoring and care, I fear she would not be able to achieve the outcome we wish for her and her baby.

    I have attached [patient name] ‘s medical records, history, relevant documentation, and the latest copy of an ultrasound for your viewing.

    Please do not hesitate to contact me directly at [phone number] or email me at [email address] if you need to discuss this case further. My team and I are committed to providing any help that may be needed to facilitate a smooth transition for the well-being of [patient name].

    I will be grateful for your expertise and support in managing this high-risk pregnancy. My team has informed [patient name] and her family of the referral, and they are eagerly looking forward to receiving the best care at [hospital name].

    Kindly treat this case as urgent.

    Thank you,

    [Doctors name]

    [Doctors credentials]

    Medical referral letter template

    #2

    Date:

    Subject: Referral of Patient

    Dear [doctor name],

    I hope this letter finds you in good health. I have a patient [mention name] who I would request to be referred to your care for a complete neurological evaluation and care.

    I have been treating [patient name] since [mention date] due to [mention medical condition]. At this point in her treatment, I would require his/her comprehensive neurological evaluation. This is because his/her condition has not shown the desired improvement despite all the tests, monitoring, and treatments. This is why I have come to believe that his/her case now requires an examination by a neurologist.

    After I looked into [patient name]’s most recent diagnostic result, it became clear that he/she requires a specialized neurological assessment to rule out any issues with the brain that may have gone unnoticed. I trust your knowledge in the field of neurology and would rely on your judgment for the neurological evaluation of [patient] and, if needed, the best care.

    I understand you have a very tight schedule, but I would request that you please schedule an appointment with [patient name] as soon as possible and initiate a detailed neurological evaluation. Kindly keep me in the loop regarding all assessments and any possible treatment plans, if need be. Currently, I haven’t prescribed any medications to [patient name], but I shall do so after your evaluation.

    If you have any questions or would like to discuss this further, please do not hesitate to call me at [mention number] or email me at [mention email address].

    I am confident that your years of experience and specialized care unit will benefit [patient’s name] in ruling out any of his/her neurological issues, if any.

    Thank you for your attention to this referral, and I look forward to collaborating with you in the best interest of our patient’s health.

    Sincerely,

    [Dr. Name]

    [Dr. Credentials]

    [Dr. clinic/hospital name]

    Exit mobile version