Referrals
Fatigue referral checklist
Referral checklist for persistent fatigue with unresolved etiology or progressive functional decline.
Last reviewed 2026-02-07|fatigue | internal medicine | workup
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Minimum pre-referral workup
- Symptom timeline and functional-impact assessment.
- Baseline targeted workup guided by clinical pattern.
- Medication, sleep, mood, and chronic-disease review.
Urgency tier
- Same-day escalation for cardiorespiratory instability, neurologic deficits, or severe weakness.
- Expedited referral for progressive symptoms with red-flag systemic features.
- Routine referral for persistent unexplained fatigue after initial evaluation.
Referral packet checklist
- Structured history with red-flag screen findings.
- Objective data, tests completed, and trend summary.
- Comorbidities and current medication list.
Pre-referral optimization tasks
- Reinforce return precautions for worsening weakness or instability.
- Continue supportive measures and interval reassessment.
- Document unresolved diagnostic questions for specialist focus.