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to some patients need to be referred to hospital by the general practitioner to do this you should write a referral letter a good referral letter well start off by giving the patient details so their name their date of birth the patient ID number and their address you should then give a description of the problem including examination investigation findings so for example you could start off with mr. Smith is a 40 year old gentleman who presented to my clinic today with a lump on his left index finger beneath the first metacarpal phalangeal joint on the palmar aspect of the hand upon investigational unmeasured approximately four by four by three millimeters it was painful and non-mobile she then discussed the past medical history of the patient and focus on any of the relevant areas you should also discuss the drug history and any allergies they might have to drugs and then move on to talk about the social history especially focusing on anything thats relevant you should then discuss