For referral to Orthopedics from another department, write a brief, clinical, focused note:
To: Orthopedics Department
From: [Your department / doctor name]
Date: [DD/MM/YYYY]
Re: Orthopedic opinion for [site] pain
Dear Doctor,
Kindly evaluate [Patient name, age, sex] for [right/left] [joint/body-part] pain for [duration].
- Pain details: onset [sudden/gradual], severity [x/10], aggravating/relieving factors, radiation if present
- Associated symptoms: swelling, stiffness, restricted movement, trauma, numbness/tingling, fever, inability to bear weight
- Relevant history: injury/fall, arthritis, diabetes, osteoporosis, cancer, anticoagulants, previous surgery
- Examination: tenderness at ___, swelling/deformity ___, range of motion ___, neurovascular status ___
- Investigations/treatment already done: X-ray/MRI/labs if available; analgesics, physiotherapy, immobilization, etc.
Reason for referral: Please assess for possible musculoskeletal/orthopedic pathology and advise regarding further investigations and management.
Thank you.
Name, designation, signature/contact
Short example
Kindly evaluate Mr. A, 52 years, for progressive right knee pain for 3 months, worse on walking and stair climbing, with morning stiffness lasting approximately 10 minutes. No recent trauma, fever, redness, or neurological symptoms. Examination shows medial joint-line tenderness, mild crepitus, and painful restricted flexion. X-ray knee has been requested. Please assess and advise regarding diagnosis and management.
For urgent referral, clearly state findings such as severe trauma/deformity, inability to bear weight, fever with a hot swollen joint, neurovascular deficit, or suspected fracture/infection.