Referrals

Resistant hypertension/CKD referral checklist

Referral checklist for resistant blood pressure control and CKD-related treatment complexity.

Last reviewed 2026-02-07|hypertension | ckd | cardiorenal

At a glance

Fast checkpoints for point-of-care decisions.

Minimum pre-referral workup

Provide serial office and home blood pressure logs with measurement technique notes.
Include medication list, adherence review, and dose titration timeline.
Attach renal function trend, electrolytes, urine ACR, and key comorbidity profile.

Urgency tier and escalation triggers

Urgent escalation for suspected hypertensive emergency or rapidly worsening kidney function.
Expedited referral for persistent uncontrolled BP despite guideline-based multi-drug therapy.
Routine referral for complex optimization when BP remains above target despite structured management.

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.

Provide serial office and home blood pressure logs with measurement technique notes.
Include medication list, adherence review, and dose titration timeline.
Attach renal function trend, electrolytes, urine ACR, and key comorbidity profile.

Separate urgent pathways from routine referral flow.

Urgent escalation for suspected hypertensive emergency or rapidly worsening kidney function.
Expedited referral for persistent uncontrolled BP despite guideline-based multi-drug therapy.
Routine referral for complex optimization when BP remains above target despite structured management.

Include all mandatory data to reduce rejected referrals.

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

Jump to

Provide serial office and home blood pressure logs with measurement technique notes.
Include medication list, adherence review, and dose titration timeline.
Attach renal function trend, electrolytes, urine ACR, and key comorbidity profile.

Urgent escalation for suspected hypertensive emergency or rapidly worsening kidney function.
Expedited referral for persistent uncontrolled BP despite guideline-based multi-drug therapy.
Routine referral for complex optimization when BP remains above target despite structured management.