Referral templates
8 templates · merge fields auto-fill from the active patient chart
Smart referrals: When you generate a referral from an exam, Claude pulls VA, IOP, OCT, and chart history into the merge fields automatically. You review, edit, and send — fax or secure portal.
All merge fields below in {{double_braces}} get auto-filled at send time.
Available fields: {{patient_name}}{{age}}{{sex}}{{diagnosis}}{{va_od}}{{va_os}}{{iop_od}}{{iop_os}}{{medications}}{{findings}}{{plan}}{{provider_name}}{{recipient}}
Live preview
Subject
Referral: Glaucoma evaluation — Eleanor Whitfield
Body
Dear Dr. ___,
I am referring Eleanor Whitfield, a 79-year-old female, for your evaluation of POAG.
KEY FINDINGS
• Best-corrected VA: ___ OD / ___ OS
• IOP (GAT): ___ mmHg OD / ___ mmHg OS
• CCT: ___ / ___ µm
• C/D ratio: ___ OD / ___ OS
• OCT RNFL: ___
• HVF 24-2: ___
CURRENT MEDICATIONS
Latanoprost 0.005% 1 drop qhs OU; Metformin 500mg BID
REASON FOR REFERRAL
___
I would appreciate your assessment regarding ongoing management. Imaging and prior visit notes attached.
Thank you,
Dr. Austin Ekeoba, OD
Sky Chamber Vision
Replace `___` placeholders before sending. Claude can auto-fill from chart on send.