How to Use This Template
- Complete the relevant history, examination, impression and plan fields.
- Tick applicable options. Additional questions will appear when further details are required.
- Use Generate to create the clerking note, then copy it when ready.
- Complete the referral details and generate a referral letter when referral is required.
1. Patient Details
2. Presenting Complaint
Associated Symptoms
3. Red Flags
Red flag selected. Consider urgent referral based on clinical condition and local protocol.
4. Risk Factors / Background
5. Examination
General Findings
Pupils
Abnormal findings (tick all that apply)
Fundoscopy
Abnormal findings (tick all that apply)
Cranial Nerves
Abnormal findings (tick all that apply)
Limb Power / Reflexes
Abnormal findings (tick all that apply)
Gait / Cerebellar
Abnormal findings (tick all that apply)
6. Impression & Plan
Clinical Pattern Suggestions
Suggestions are based on selected history and examination features and do not replace clinical assessment or investigation.
Select relevant findings to view possible clinical patterns.
Impression
Plan Checklist
Plan Investigations
Tick Plan Investigations to show all available investigations, then tick the investigations required.
Blood Investigation
Imaging / Other
Generate Referral Letter with AI
Generates a referral letter via the server-side AI endpoint (
generate_letter.php), using the clerking summary above. Requires this page to be hosted on the same server as that endpoint.AI usage today: 0 / 500
Click "Generate Referral Letter with AI" to auto-fill this section.