Get the free GP referral form

This document is used for referring patients to appropriate mental health services and other supportive interventions, capturing personal details, living environment, and consent information.

How to fill out gp referral form

How to fill out GP referral form

1. Obtain the GP referral form from your general practitioner’s office or their website.
2. Fill in your personal details, including your name, date of birth, and address.
3. Specify the medical issue or reason for referral, providing relevant details.
4. Include any relevant medical history or previous treatments related to the referral.
5. Indicate your preferred specialist or department for the referral, if applicable.
6. Ensure that the form is signed and dated by your GP or healthcare provider.
7. Submit the completed form to the designated specialist or healthcare facility.

Who needs GP referral form?

1. Anyone needing specialized medical care that is not provided by their GP.
2. Patients who require further evaluation, diagnosis, or treatment from a specialist.
3. Individuals referred for diagnostic tests or procedures that require specialist intervention.
4. Patients seeking access to specialist services covered by their health insurance.

People Also Ask about

How to start a referral letter to a doctor?

To Whom It May Concern / Dear Dr Kumfor, I am referring [patient's name], a [Age] year old [male/female], for evaluation of their [presenting problem]. These reported concerns have been occurring for the past [X] months/years. I have been [patient's name]'s primary care physician/specialist for the past [X] years.

What makes a good GP referral?

Key components of a good referral a description of the reason for the referral; include the questions or concerns you and your patient are looking to have managed (clear and concise) significant medical history and relevant family history. current medication and medication previously tried relevant to the referral.

How to write a GP referral letter?

Below is a simple guide to crafting a professional medical referral letter: Header with Practice Details and Date. Recipient's Information and Greeting. Patient Identification and Reason for Referral. Clinical Details. Investigations and Test Results. Reason for Referral and Request for Action.

How to write a referral form?

How to write a letter of referral Include both addresses. Write a brief introduction. Give an overview of the applicant's strengths. Share a story of the applicant. Add a closing statement. Leave a signature.

How to write a good GP referral letter?

Below is a simple guide to crafting a professional medical referral letter: Header with Practice Details and Date. Recipient's Information and Greeting. Patient Identification and Reason for Referral. Clinical Details. Investigations and Test Results. Reason for Referral and Request for Action.

What is a GP referral form?

And sometimes, your GP might decide you need to see another healthcare professional for specialist tests, treatment or care. When they request specialist tests or treatment on your behalf, this is known as a referral. Examples of referrals could include: Scans or tests for a diagnosis of a condition or health issue.

How do you write a positive referral?

Leave a signature. Include both addresses. At the top of the letter of referral, include your address, contact information, the date and address of the recipient. Write a brief introduction. Give an overview of the applicant's strengths. Share a story of the applicant. Add a closing statement. Leave a signature.

How to ask for a GP referral?

This can happen in the following ways: your GP can book it while you're at the surgery. you can book it online using the appointment request letter your GP gives you. you can phone the NHS e-Referral Service line on 0345 608 8888 (open Monday to Friday, 8am to 8pm, and on weekends and bank holidays from 8am to 4pm)

For pdfFiller’s FAQs

What is GP referral form?

A GP referral form is a document used by General Practitioners (GPs) to refer patients to a specialist for further assessment, diagnosis, or treatment.

Who is required to file GP referral form?

The GP is required to file the GP referral form when they determine that a patient needs specialized care that cannot be provided in a general practice setting.

How to fill out GP referral form?

To fill out a GP referral form, the GP must provide patient identification details, specify the reason for referral, outline relevant medical history, and include any necessary tests or imaging results.

What is the purpose of GP referral form?

The purpose of the GP referral form is to facilitate communication between the GP and the specialist, ensuring that the specialist has all relevant information needed to provide appropriate care.

What information must be reported on GP referral form?

The information that must be reported on a GP referral form includes patient details (name, date of birth, contact information), reason for referral, medical history, current medications, and any previous treatments or investigations related to the condition.