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Referral letter

The referral letter should contain what the next clinician needs, not every fact you can remember while staring at a blank document. Your Assistant drafts it from the chart.

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Draft a referral letter for this client using the chart. Include the reason for referral, relevant history, current treatment, risk considerations, and the specific question for the receiving provider, while keeping unnecessary sensitive details out.

Draft a referral letter for this client using the chart. Include the reason for referral, relevant history, current treatment, risk considerations, and the specific question for the receiving provider, while keeping unnecessary sensitive details out.

See it work

Example

Referral letter

Alex · Tue 2:00 PM · Session 14

Referral draft:

I am referring Alex for psychiatric evaluation due to persistent anxiety and sleep disruption despite ongoing psychotherapy. Treatment has focused on avoidance, assertive communication, and sleep-related routines, with partial improvement. Please evaluate current symptoms, medication options, and any additional recommendations relevant to care coordination.

Fictional example · No real client data.

How it works

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Can do

This job only reads. It changes nothing.

It gathers the relevant story

Reason for referral, course of treatment, current concerns, risk, progress, and other information you choose to share are pulled together.

It writes for the receiving clinician

The draft prioritizes continuity of care over chart archaeology.

You control the disclosure

Review accuracy, authorization, and minimum necessary information before sending the letter.

Your most popular FAQs

What should a therapy referral letter include?

The reason for referral, relevant diagnosis and history, treatment to date and response, current risk, what you are asking the receiving clinician to do, and your contact details. Include only what the next clinician needs, with the client's consent.

How do you write a referral letter to another clinician?

Lead with the ask, then give the context that supports it. Two or three focused paragraphs beat a full history. Confirm the client has signed a release before sending anything.

How does Upheal Assistant draft the referral letter?

From the client's chart, so it contains what the next clinician needs rather than what you can recall while staring at a blank page. You review it before it is sent.

Does it send the letter?

No. You review it, confirm the client has signed a release, and send it yourself. The Assistant drafts from the chart; the decision to share stays with you.

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