# Referral letter draft

> Assemble a structured referral from the record, and mark every field the notes cannot fill.

- Skill: `vstorm-co/referral-letter-draft` (Agent Skill)
- Install (CLI): `npx skillmds@latest add vstorm-co/referral-letter-draft`
- Raw SKILL.md: https://api.skillmd.com/api/skills/vstorm-co/referral-letter-draft/raw
- Safety review: pending
- Works with: Claude Code, Claude.ai, OpenAI Codex
- Category: Coding & Dev Tools
- Author: vstorm-co (https://skillmd.com/u/vstorm-co)
- Updated: 2026-09-17
- Page: https://skillmd.com/skills/vstorm-co/referral-letter-draft

---


# Drafting a referral

A referral is rejected for missing information far more often than for clinical
reasons. The job is completeness.

## The structure

Reason for referral · relevant history · current medications · allergies ·
examination findings · investigations already done, with dates and results ·
what is being asked of the receiving service · urgency, with the reason for it.

## Mark the gaps, loudly

Any field the record cannot fill goes in as `[MISSING: …]` rather than being
omitted or softened. A referral that looks complete and is not wastes a
rejection cycle and a fortnight of the patient's time.

## Urgency

State the criterion that makes it urgent, not the word alone. "Two-week
pathway: unexplained weight loss with a palpable mass" survives triage; "urgent"
does not.

## Never

Infer a finding that is not documented, carry forward an investigation result
without its date, or set an urgency the notes do not support.