Contents of referral note
- The referral date and time.
- Name of the health facility you are sending the woman.
- Name, date of birth, ID number (if known) and address of the mother.
- Relevant health history and your findings on physical examination or lab test.
- Your suspected diagnosis.
- Any treatment you have given to the mother.
- Your reason for referring her.
- Your name, date and signature.
Last modified: Tuesday, 21 February 2017, 4:10 PM