Referrals

Anticoagulation complexity referral checklist

Referral checklist for recurrent bleeding risk, dosing complexity, or persistent anticoagulation uncertainty.

Last reviewed 2026-02-07|anticoagulation | hematology | safety

At a glance

Fast checkpoints for point-of-care decisions.

Minimum pre-referral workup

Confirm indication, treatment start date, and current anticoagulant regimen.
Provide recent CBC, renal function, and clinically relevant liver results.
Document bleeding history, thrombosis history, and current interacting medications.

Urgency tier and escalation triggers

Same-day escalation for major bleeding concern or unstable clinical status.
Expedited referral for recurrent clinically significant bleeding, severe renal decline, or recurrent thrombosis.
Routine referral for persistent dosing uncertainty without acute instability.

Referral packet essentials

Pre-referral optimization tasks

Confirm workup completeness, urgency tiering, and referral packet quality before submission.

Verify baseline investigations are complete and recent.

Confirm indication, treatment start date, and current anticoagulant regimen.
Provide recent CBC, renal function, and clinically relevant liver results.
Document bleeding history, thrombosis history, and current interacting medications.

Separate urgent pathways from routine referral flow.

Same-day escalation for major bleeding concern or unstable clinical status.
Expedited referral for recurrent clinically significant bleeding, severe renal decline, or recurrent thrombosis.
Routine referral for persistent dosing uncertainty without acute instability.

Include all mandatory data to reduce rejected referrals.

Address interim safety, optimization, and follow-up steps before handoff.

Jump to

Confirm indication, treatment start date, and current anticoagulant regimen.
Provide recent CBC, renal function, and clinically relevant liver results.
Document bleeding history, thrombosis history, and current interacting medications.

Same-day escalation for major bleeding concern or unstable clinical status.
Expedited referral for recurrent clinically significant bleeding, severe renal decline, or recurrent thrombosis.
Routine referral for persistent dosing uncertainty without acute instability.