Find a template.

Note / record

Antenatal and shared-care visit template

An antenatal encounter note for established gestation, maternal wellbeing, examination, investigations reviewed, issues and the agreed next steps.

General practice

Note / record

History and examination template

A detailed clinical record with distinct sections for the presenting history, background, examination, impression and plan.

General practice

Note / record

Mental health consult note template

A mental health consultation record covering the presenting issue, history, mental state, risk discussion, assessment, agreed plan and supports.

General practice · Psychology

Note / record

Problem-based consultation template

A consult note organised around the issues discussed, while keeping medicines, allergy history, background, findings and follow-up easy to find.

Note / record

Procedure note template

An ordered record of a procedure that was performed: what happened, the consent discussion, site, technique, findings and instructions given.

Surgery · General practice

Note / record

SOAP note template

A four-section consult note for clinicians who want to separate what the person reports, what was observed, the clinician's assessment and the agreed plan.

General practice

Note / record

GP Chronic Condition Management Plan template

A GPCCMP template that brings together health needs, the person's agreed goals, clear actions, referrals and review arrangements.

General practice

Note / record

Health assessment documentation template

A general health assessment record for the assessment type, history, medicines, findings, identified issues, agreed actions and follow-up.

General practice

Note / record

Mental state assessment (MSE) template

A mental state examination template with plain-language guidance, useful vocabulary and fictional examples that keep observations, experiences and gaps clear.

General practice · Psychiatry · Psychology

Note / record

Admission medication history template

A pharmacy admission record that separates the medicine history and its sources from the pharmacist's assessment and documented recommendations.

Hospital pharmacy

Note / record

Community pharmacist consultation template

A community-pharmacy encounter note for the presenting concern, history, medicines, assessment, advice actually given, referrals and follow-up.

Community pharmacy

Note / record

Community pharmacist counselling note template

A record of the medicines discussed, stated indication and directions, counselling actually provided, warnings, adherence support and expressed understanding.

Community pharmacy

Note / record

Medication reconciliation template

A record of the sources checked, the medicine list, differences identified, decisions documented and items still unresolved.

Hospital pharmacy

Letter

Repeat prescription and authority support letter template

Record the medicine, documented indication and exact request while keeping prescribing and authority approval status clear.

General practice

Letter

Allied-health referral letter template

A referral body for the requested discipline, relevant problem, function and goals, medicines, precautions and actual programme context.

Allied health

Letter

Better Access mental health referral template

A mental health referral body covering the stated clinical question, history, medicines, risk discussion, requested service and consent to share.

General practice

Letter

GP to specialist referral template

A referral body that sets out the question for the specialist, relevant clinical context, investigations, medicines and the referrer's stated urgency.

General practice

Letter

Hospital and emergency department referral template

Give the receiving hospital team a clear account of the concern, findings and the referring clinician's stated urgency.

General practice

Letter

Second opinion request letter template

Set out the person's reason for another opinion, the care so far and the specific question, in a respectful and balanced letter.

Specialist medicine

Letter

Specialist cross-referral letter template

Bring another specialist into the person's care with a focused question, relevant evidence and clear follow-up arrangements.

Specialist medicine

Letter

Patient results and instructions letter template

Explain the clinician's interpretation of a result in everyday language, with the agreed next step and a clear way to get in touch.

General practice

Letter

Recall and reminder letter template

A respectful reminder that explains why the practice is getting in touch, what the person needs to do and how to contact the team.

General practice

Letter

Discharge and transfer-of-care summary template

A handover body for the episode, discharge medicines, changes, pending results and actions that need to continue after discharge or transfer.

Specialist medicine

Letter

GP transfer of care letter template

Help a new GP understand the person's current care, medicine information and outstanding work, with clear responsibility for anything still pending.

General practice

Letter

Pre-operative and pre-admission letter template

Share the recorded procedure, relevant history and outstanding information with the team preparing for admission.

Surgery

Letter

Specialist to GP reply template

A specialist reply body that distinguishes the assessment, care provided, medicine changes, requests to the GP and follow-up.

Specialist medicine

Note / record

Meeting minutes template

A meeting record with separate attendance, discussion, decision and action sections.