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Free template

Consultation summary template

A one-page record of the visit, for the patient, the GP or the chart.

Download the PDFFree, no sign-up. Fill it in on screen or print it.
Consultation summary 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
  • Visit date, specialty and subject
  • Presenting complaint
  • Assessment
  • Plan
  • Follow-up
  • Sign-off: name, qualifications and Irish Medical Council number

Using it well

  • Write it for the reader it goes to: plainer language for the patient, more detail for the GP.
  • Put the follow-up date and who books it in the last section.

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: Practice management for private consultants.

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