Finally, you need to know what to do if you are making a referral – sending a client for additional health services and specialised care at a higher level health facility. You should complete a referral form in full and sign and date it, then make sure it goes to the health facility with the patient; it also has a space for feedback to you by the health facility about what treatment they have given.

If you do not have the standard referral form, you should write a note to the health facility that contains the key information.

Referral note

  • Date of the referral and time
  • Name of the health facility you are sending the patient to
  • Name, date of birth, ID number (if known) and address of the patient
  • Relevant medical history of the patient
  • Your findings from physical examinations and tests
  • Your suspected diagnosis
  • Any treatment you have given to the patient
  • Your reason for referring the patient
  • Your name, date and signature.
Last modified: Wednesday, 16 July 2014, 7:11 PM