Short and sweet: Writing better consult notes in the era of the 2025

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The second step to writing a good consultation note is to choose the content and style that suit the situation and the audience. The content of a consultation note should be concise, relevant, and evidence-based. It should focus on the referral question and avoid unnecessary details or repetition.
A consultation note is a document that summarizes the findings and recommendations of a specialist who evaluates a patient referred by another clinician. It serves as a communication tool, a legal record, and a source of quality improvement.
What should be included? Your consultation statement should include information on how you consulted the public, who you consulted (including any statutory consultees), a summary of the main issues raised, and how you have addressed those issues issues in any review of you Neighbourhood Development Plan.
In order to make your consult note as useful as possible, keep it short and sweet. Make sure your consult note contains a clear assessment and diagnostic and therapeutic recommendations. Your other observations are helpful, but not strictly necessary for another physician to read.
The 7 essential rules of writing a good consultancy report 1. It provides answers to the clients problems 2. It has a logical flow 3. It speaks to the reports intended audience 4. It includes concrete recommendations 5. It takes account of political sensitivities 6. It is succinct and written in plain English 7.
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Consult Note Template ID: [patient name] [age] [gender] Code Status: If inpatient, include code status. Substitute Decision Maker: If applicable: Name, relation and contact information of substitute decision maker. Reason for Referral: History of Presenting Illness: Past Medical History: Medications: Allergies:

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