Here are some key points that a GP referral for an upper limb condition should ideally cover:
Patient demographics
Include the patient's full name, date of birth, contact information, and any relevant identification numbers or medical record numbers.
Referring GP information
Provide your name, contact information, and clinic details as the referring GP. This helps the specialist to communicate with you and coordinate care effectively.
Reason for referral
Clearly state the reason for the referral, indicating the specific upper limb condition or symptoms that the patient is experiencing. For example, mention if it is related to pain, deformity, limited range of motion, swelling, or any other relevant details.
Duration and progression of symptoms
Provide information about the duration of the symptoms, including when they started, how they have progressed, and any factors that worsen or alleviate the symptoms. This helps the specialist to assess the urgency and severity of the condition.
Relevant medical history
Include the patient's relevant medical history, such as any previous upper limb injuries, surgeries, or treatments. Mention any chronic conditions or comorbidities that may be relevant to the upper limb condition.
Results of diagnostic tests
If the patient has undergone any diagnostic tests related to the upper limb condition, such as X-rays, MRIs, or ultrasounds, provide the results or attach the reports.
Previous treatments and outcomes
Mention any previous treatments the patient has received for the upper limb condition, such as medications, physical therapy, or injections. Provide information on the outcomes of these treatments, including whether they were effective or not.
Medications and allergies
Include a list of current medications that the patient is taking, including any over-the-counter medications or supplements. Also, mention any known drug allergies or adverse reactions the patient may have.
Functional limitations
Describe any functional limitations the patient is experiencing due to the upper limb condition. This could include difficulties with activities of daily living, work-related limitations, or impact on quality of life.
Patient expectations
If the patient has specific concerns, expectations, or questions related to the upper limb condition, include them in the referral. This helps the specialist to address these specific issues during the consultation.
Urgency of referral
Indicate whether the referral is routine or if there is a need for urgent or expedited care. Justify the urgency based on the patient's symptoms, functional limitations, or potential complications.
Any additional relevant information
Include any other relevant information that may assist the specialist in assessing and managing the upper limb condition.