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Clinic letter template

The letter back to the GP after clinic, in the order a GP reads it: why the patient came, what you found, what happens next.

Download the PDFFree, no sign-up. Fill it in on screen or print it.
Clinic letter template: page one of the PDF

What it asks for

What is on the formThe secretary completes

  • Practice letterhead, date and reference
  • Patient: name, date of birth, MRN and address
  • GP, their practice, and anyone copied in
  • Reason for review
  • Assessment and investigations
  • Diagnosis
  • Plan and recommendations
  • Sign-off: name, qualifications and Irish Medical Council number

Using it well

  • Lead with the answer the GP needs: the diagnosis and the plan, then the detail.
  • Say who owns each next step: the GP, the patient or the practice.
  • Copy the patient where your practice does so; the cc line is there for it.

Open it in the sample practice

The sample practice is the real Ask Brigid on invented patients, open without a sign-up. This document joins its Library with the next sample-practice update; the Library already holds the practice’s templates.

Sources

Checked against the sources above on 23 September 2026. Issuers change their forms; check the official page before you rely on a detail here.

In Ask Brigid this paperwork sits beside the diary and the record: Letters, inbox and the secretary’s day.

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