River
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Write complete referral letter to specialist

Paste your notes and get a one-page referral letter with the question first, then the history, results, medications and urgency.

Context to provide

Paste your notes and River writes a one-page referral letter to a specialist. The question you want answered goes first, followed by the history and results that bear on it, what has already been tried, current medications and allergies, urgency, and how to reach you. Anything the specialist would need that your notes do not show is marked for you to add.

Every clinical statement comes from your notes. If you do not state a question, River drafts the most likely one from your notes and marks it for you to confirm. For a version that also writes the consult reply in matching numbering, use the referral letter and consult note on meetriver.com.

What specialists want in a referral

A specific question, why it cannot be answered where you are, the history and results that bear on it with dates, what has been tried and how it went, current medications and allergies, and how urgent it is. Attach full records rather than pasting everything into the letter.

State urgency honestly and say why. If a finding needs faster review than a routine referral allows, such as rest chest pain or a new neurological deficit, a phone call to the specialist or emergency care may be the right step, not a letter.

How it works

  1. Paste your notes

    Your notes, results and medication list, plus the question if you have one.

  2. River writes the letter

    One page, question first, every clinical line drawn from your notes.

  3. Check and send

    Fill any marked gaps, sign, and send it with the attachments listed.

What you get

  • The question first, numbered, so the reply can answer it directly
  • Relevant history and results with dates, and what has already been tried
  • Current medications and allergies, always included or marked missing
  • Urgency as you state it, with any red-flag finding flagged for you
  • An attachment list so nothing relevant is silently left out

Common questions

Should I include the whole history?

No. Include what bears on the question and attach the rest. The letter lists the attachments so the specialist knows what else is available.

What if I need urgent input?

Say so and say why. The letter states the urgency you give. For findings that may need same-day care, call the specialist or arrange emergency care rather than relying on a letter.

Will it add clinical details?

No. It uses only your notes and marks anything missing, such as an allergy list or a test date, for you to add.

Can I include patient identifiers?

Follow your organization's policy. River is HIPAA-eligible and offers a Business Associate Agreement for identifiable information. Without one, use placeholders and add identifiers in your own system.

Write complete referral letter to specialist

Describe what you need, add any files you have, and your workspace opens with the work already underway.