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Referrals

Unintentional weight loss referral checklist

Baseline workup, urgent criteria, and referral note elements for unintentional weight loss.

Last reviewed 2026-01-05|weight-loss | systemic | workup

Minimum pre-referral workup

  • Document weight trend and timeframe of loss.
  • Review appetite, GI symptoms, and psychosocial factors.
  • CBC, CMP, TSH, and A1C.
  • ESR or CRP if inflammatory cause suspected.
  • Age-appropriate cancer screening updates.

Urgency tier

  • More than 10 percent body weight loss in 6 months.
  • Fever, night sweats, or persistent lymphadenopathy.
  • GI bleeding, progressive dysphagia, or persistent vomiting.
  • Severe functional decline or frailty.
  • Focal neurologic deficits or new mass.

Referral packet checklist

  • Amount and timeline of weight loss, with recent weights.
  • Associated symptoms and risk factors.
  • Screening history and results.
  • Lab results and imaging already completed.
  • Medications, substance use, and comorbidities.

Pre-referral optimization tasks

  • Begin nutrition support and hydration strategy while awaiting referral.
  • Review medications and psychosocial barriers that may be reducing intake.
  • Reinforce return precautions for rapid decline, inability to eat or drink, or new alarm symptoms.