Author: AppV-Seq

eConsultant, Request for Specialist Advice – Cardiology

<Practice>
<UsrAddress>

<TodaysDate>

CE4101000RT
eConsultant Cardiology
Cardiology, Mater Health Services
Raymond Terrace
South Brisbane Qld 4101

Re: <PtFullName> DOB: <PtDoB> Medicare no.: <PtMCNo>;<PtMCLine>;<PtMCExpiry>.
Residential address: <PtAddress>,<PtState>.
Postal address: <PtPOAddress>,<PtPOCity>,<PtPOPostcode>,<PtState>.
Phone: <PtPhoneH> Mobile: <PtPhoneMob>

Thank you for the opportunity to seek your opinion / advice regarding <PtPrefName> <PtSurname>

<PtPrefName> currrent medications are: <SelectedRx>

Allergies: <Reactions>

Height, Weight, BMI: <Observations>
Blood Pressure: <Observations>
Smoking History: <SmkStatus>
Alcohol Consumption: <AlcHx>

Past Medical History: <SelectedPMH>

Investigations: <Ix>

If you wish to send correspondence with an RFA there is an option to send a second message with only PDF attachments: right click on the little “m” symbol in taskbar & select “create new message (PDF)”. You will need to ensure the patient details are matching (enter them if missing) and copy in the "Referral To" code (e.g. CE4101000RT) to the field and hit the magnifying glass icon to confirm the addressee.

Reason for seeking opinion and management
Question 1. <Reason for seeking opinion and management?>
Question 2. <2nd Reason for seeking opinion and management?>

Yours Sincerely,

<DrDetails>
<DrProviderNo>