Referral checklists
Urgency, minimum workup, and what to include, so a referral is complete the first time.
37 checklists
A
- Abdominal pain red-flag referral checklist
Referral checklist for unresolved abdominal pain with warning features or diagnostic uncertainty.
- Allergic reaction referral checklist
Referral checklist for suspected severe allergy patterns or recurrent reaction risk requiring specialist planning.
- Anticoagulation complexity referral checklist
Referral checklist for recurrent bleeding risk, dosing complexity, or persistent anticoagulation uncertainty.
C
- Cellulitis referral checklist
Referral checklist for complicated, recurrent, or treatment-refractory cellulitis.
- Chest pain (non-emergent) referral checklist
Non-emergent chest pain triage checklist with baseline investigations and referral notes.
- Chronic cough referral checklist
Key investigations, urgent criteria, and referral note elements for chronic cough.
- Constipation referral checklist
Referral checklist for refractory constipation, alarm symptoms, or concern for secondary pathology.
D
- Depression/anxiety specialty support referral checklist
Referral structure for persistent symptoms, diagnostic complexity, or elevated psychiatric risk.
- Diarrhea referral checklist
Referral checklist for persistent or severe diarrhea presentations requiring specialist input.
- Dizziness/vertigo referral checklist
Referral checklist for persistent or high-risk dizziness/vertigo presentations.
E
- Earache/otitis referral checklist
Referral checklist for recurrent, severe, or complicated ear infections and persistent ear pain.
- Elevated liver enzymes referral checklist
Baseline investigations, red flags, and referral note elements for elevated liver enzymes.
F
- Fatigue referral checklist
Referral checklist for persistent fatigue with unresolved etiology or progressive functional decline.
H
- Head injury referral checklist
Referral checklist for post-head-injury symptoms, concussion risk, or delayed neurologic concern.
- Headache referral checklist
Baseline assessment, red flags, and referral note elements for headache referrals.
- Hematuria referral checklist
Baseline evaluation, red flags, and referral note elements for hematuria.
I
- Infertility referral checklist
Baseline evaluation, urgent criteria, and referral note elements for infertility.
- Iron deficiency anemia referral checklist
Baseline labs, red flags, and referral note elements for iron deficiency anemia workup.
K
- Knee pain referral checklist
Referral checklist for persistent knee pain, instability, or suspected structural injury.
L
- Low back pain: persistent symptoms/red flags referral
Referral checklist for prolonged low back pain, neurologic concerns, or diagnostic uncertainty.
M
- Medication complexity referral checklist
Referral checklist for polypharmacy risk, adverse-effect burden, or difficult medication reconciliation cases.
- Menstrual irregularities referral checklist
Baseline workup, red flags, and referral note elements for menstrual irregularities.
N
- Nausea/vomiting referral checklist
Referral checklist for persistent nausea/vomiting with dehydration or unresolved diagnostic concern.
- Neck pain referral checklist
Referral checklist for neck pain with neurologic deficits, trauma risk, or refractory symptoms.
P
- Palpitations referral checklist
Referral checklist for recurrent palpitations, suspected arrhythmia, or high-risk symptom combinations.
- Pediatric fever/rash escalation referral checklist
Referral checklist for children with persistent fever/rash when outpatient escalation is needed.
- Pelvic pain referral checklist
Referral checklist for persistent or high-risk pelvic pain presentations.
- Pregnancy complication referral checklist
Referral checklist for pregnancy bleeding/pain presentations requiring urgent obstetric pathway coordination.
R
- Resistant hypertension/CKD referral checklist
Referral checklist for resistant blood pressure control and CKD-related treatment complexity.
S
- Shoulder pain referral checklist
Referral checklist for persistent shoulder dysfunction, suspected structural tears, or refractory pain.
- Sleep disturbance referral checklist
Referral checklist for persistent insomnia, possible sleep-disordered breathing, or severe daytime dysfunction.
- Syncope referral checklist
Baseline investigations, red flags, and referral note elements for syncope.
T
- Type 2 diabetes complex escalation referral checklist
Referral checklist for persistent glycemic instability or advanced cardiorenal diabetes complexity.
U
- Unintentional weight loss referral checklist
Baseline workup, urgent criteria, and referral note elements for unintentional weight loss.
V
- Vaginal discharge referral checklist
Referral checklist for recurrent, treatment-refractory, or high-risk vaginal discharge presentations.
- Vision problem referral checklist
Referral checklist for urgent or persistent visual symptoms requiring ophthalmology or neuro-ophthalmology input.
W
- Wheeze/asthma referral checklist
Referral checklist for severe, recurrent, or treatment-refractory wheeze/asthma symptoms.