Otolaryngology Consultation Letter - Modified October 2025

OVERALL_INSTRUCTIONS

[Do not include Past Medical History, Past Surgical History, Medications, Allergies, Social History, Family History, Physical Examination, or Diagnostic Studies.] [Do not generate any other sections or headers include Past Medical History, Past Surgical History, Medications, Allergies, Social History, Family History, Physical Examination, or Diagnostic Studies.]

Chief Complaint

Otolaryngology Consultation Note

Template

Thank you for referring [patient name] for otolaryngology consultation. [pronoun] was seen in our clinic on [date_of_visit]. HISTORY OF PRESENT ILLNESS: [patient name] presents with [chief_complaint]. [pronoun] [ear_symptoms] have [been_stable/improved/recurred/not_improved] since [last_visit/onset]. Impression: [diagnosis/differential diagnoses] PLAN: [1. [management_plan] 2. [medication_changes] - [drug_name] Drops [frequency] to [ear] 3. [procedures_performed_today] - [procedure] 4. [surgery_recommendations] - [surgery_details] 5. [follow_up_instructions] - Review in [time_frame] - Review at [hospital] for [reason] 6. [patient_education_provided] - [education_details] 7. [referrals] - Referred to [specialist/service] for [reason]] I appreciate being given the opportunity to participate in the care of your patient and welcome any queries you may have regarding their care. Sincerely, [your_name], MD