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Consultation Note Template

Provide clear, actionable recommendations to referring providers with comprehensive consultation documentation.

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What is a Consultation Note?

A consultation note documents a specialist's evaluation and recommendations when a patient is referred by another provider. It answers the referring provider's clinical question and provides expert guidance on diagnosis and management.

Effective consultation notes clearly communicate findings and recommendations, facilitating coordinated care between providers.

Types of Consultations

Initial Consultation

First-time specialist evaluation for a new clinical question

Follow-up Consultation

Subsequent visits for ongoing specialist management

Curbside Consultation

Informal expert advice documented for the record

Second Opinion

Independent evaluation of diagnosis or treatment plan

Consultation Note Sections

Reason for Consultation

The specific question or concern from the referring provider

  • Referring provider and specialty
  • Specific consultation question
  • Urgency of consultation
  • Relevant background

History of Present Illness

Comprehensive history relevant to the consultation

  • Chief complaint in detail
  • Chronological symptom progression
  • Previous evaluations and treatments
  • Impact on daily function

Relevant History

Past medical history pertinent to the consultation

  • Past medical history
  • Surgical history
  • Medications
  • Allergies
  • Family and social history

Physical Examination

Focused exam based on consultation indication

  • Vital signs
  • General appearance
  • System-specific examination
  • Pertinent positive and negative findings

Data Review

Analysis of available diagnostic information

  • Laboratory results
  • Imaging findings
  • Previous procedure reports
  • Outside records review

Assessment & Recommendations

Expert opinion and suggested management

  • Clinical impression
  • Differential diagnosis
  • Recommended workup
  • Treatment recommendations
  • Follow-up plan

Consultation Note Best Practices

Answer the Question

Always directly address the referring provider's specific clinical question at the beginning of your assessment.

Be Specific

Provide concrete recommendations with medication names, dosages, and specific follow-up timeframes.

Define Your Role

Clearly state whether you're providing a one-time consultation or assuming ongoing care for this condition.

Communicate Urgency

If urgent follow-up or intervention is needed, make this prominently clear in your recommendations.

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