You can create an internal referral to another provider within your clinic. From the patient chart, you can initiate a new referral from an encounter, a letter or a form, and the letter or form is attached to the referral to provide the required information about the patient and the reason for the referral.

For internal referrals, you can immediately assign a priority and assign the patient to one of your clinic's waitlists.

You can also create an external referral to a provider outside your clinic (see Creating external referrals).


Within a patient chart, do one of the following:

  • Create and save a new letter (see Creating letters from the patient chart or Creating letters from encounters).

    💡 Tips:
    Within an encounter, in the Referrals section, you can quickly create a referral letter that includes your encounter notes. Click Add Letter to be able to modify the contents of the letter, or click Add Referral to include your encounter notes without modifying.

    When creating a letter, choose a referral letter template to quickly include all required information.

  • Add and save a new form (see Adding forms to encounters).

2. After you save your referral letter or form, at the bottom of the letter, click Referral > Internal.

The New Referral - Internal window opens.

3. Fill in the fields of the referral.



Reason for Referral

If you selected a presenting issue for the encounter or entered a letter title, it appears by default. Otherwise, Consultation appears by default. You can type a new reason, if required.

Date Added

Defaults to today's date; change it, if required.

Ordering Provider

Select who ordered the referral.

Service Provider

Select who the patient will see. Defaults to the recipient of the referral letter.

💡 Tip: You can leave this field blank, and have your staff choose the appropriate provider based on the type of referral.

Patient Information

Defaults to the current patient.


The referral letter is automatically attached. To attach another document, such as a file from the patient chart, click Add Attachment and choose the document.


Choose the appropriate status.


Choose the appropriate priority.

Waiting List

If your clinic uses waitlists, you can assign the patient to one.

Required Actions

If appropriate, initiate the next action in the referral workflow.

Depending on the chosen referral status and its configuration, you may have to perform an action before you can save and send the referral. For more information, see Configuring outgoing referral statuses.

Patient Data

Referral Data

If customised in your referral settings, click a blue data field to update patient data and referral data directly from the referral. See Updating patient and referral data from a referral.


If required, type additional comments and click Leave Comment. These comments remain in your clinic and are not sent externally.

4. Click Save.

If you booked an appointment, choose whether to send a notification to the patient and click Send.

5. If you are ready to send the referral to the service provider, choose one of the following send options:

  • To send the referral as an internal message within the CHR, click Message.

  • To print, fax, or email the referral, click Send.

The referral is saved (and sent) and added to your list of Internal referrals list in the Referrals dashboard.

Updated August 11, 2021

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