How to Use This Template
- Complete the relevant history, systemic review, 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. Focused History / Risk Factors
System Review
Constitutional Symptoms
Respiratory Symptoms
Gastrointestinal Symptoms
Endocrine Symptoms
Genitourinary Symptoms
Neurological Symptoms
Rheumatology / Musculoskeletal Symptoms
Psychiatric / Eating Disorder Symptoms
Infective Exposure Risks
Risk Factors
5. Examination
General Findings
Lymph Nodes
Respiratory
Abdomen
Breast / PR / Other Targeted Exam
6. Impression & Plan
Clinical Pattern Suggestions
Suggestions are based on selected 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 investigation options, then tick the investigations required.
Blood / Urine
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.