I write my letter after the note is signed and the referral has been set up. I send an order for a referral to my MA and the reason for the referal is written on the order next to the consultant docs name. Once the ma has made the referral, they message me to write the letter which I do at that later date. Upside down and backwards but I get a chance to find out if the consultant will even take the patient, etc prior to writing the letter. Sometimes due to insurance issues, it actually ends up being a completely different consulting physician. Sometimes it is a time issue.
Last edited by StLawrence; 01/15/2011 12:39 AM.