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Referral Letter

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Start with a finished example, inspect the template, or see the clinical facts Notat uses to draft the note.

Finished note

Example — generated by Notat from a sample visit

Reason for visit:
Follow-up for a persistent cough and reduced energy over the past 10 days.

Assessment:
Symptoms are improving. No red flags identified during today's review.

Plan:
Continue supportive care, review worsening symptoms, and follow up if symptoms do not settle as expected.

Clinical documentation:
Relevant symptoms, meaningful negatives, assessment, and follow-up advice were captured from the sample visit and organised into the selected template.

FactsContext™

symptoms

Presenting concern: Persistent cough and reduced energy for 10 days

history of present illness

Progress: Symptoms are gradually improving

Visit focus: The main concern, timeline, and functional impact were identified from the conversation.

physical exam

Red flags: No red flags identified in today’s review

plan

Follow-up: Safety-netting and review if symptoms persist or worsen

Safety-netting: Follow-up triggers and urgent return precautions were documented as part of the plan.

denials of symptoms

Denies: Relevant denials: Relevant red flags and absent symptoms were retained to support the documented assessment.

Template

Dear [specialist name if mentioned],

[Patient summary including age, sex, and reason for referral]
(Assume which specialist they are being referred to based on the note. Make it specific to one issue. Include pertinent findings that specialist would find useful. Use medical terminology. Use full sentences only.)

<b>Past Medical History:</b>
(hyphenated list)
-

<b>Medications:</b>
(hyphenated list)
- [Medication name, dose, route, frequency if mentioned]

<b>Allergies:</b>
(hyphenated list)
-

(exclude headings if no content mentioned underneath)

Your expertise would be greatly appreciated.

Shared by

MB

Dr. Marc Beaulieu

Family Physician, Canada

How it works in Notat

Add this template to your library, record the visit as usual, and Notat drafts the note in this exact structure from the extracted clinical facts. You review, edit, and sign.

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