SLIT Followup (Burnaby)

OVERALL_INSTRUCTIONS

Chief Complaint

Consult Letter Template

Template

Dear [Referring Clinician] Thank you for re-referring [Patient Name] to see me. This [Patient Age] year old [Patient Description] has presented with [Consult Purpose]. [Patient Name] is doing well. [Patient Name] is not using any [Medication Name]. [Patient Name] has been doing SLIT for [Duration] and is feeling much better. [Patient Name] is using [Medication Name] weekly and it helps. [Patient Name] is a [Relevant Activity] and has some [Symptom] with [Trigger]. [Patient Name] has not used [Treatment/Medication]. [Patient Name] denies [Symptom] or [Symptom]. [Patient Name] wears [Protective Equipment] with [Activity]. On Examination: Left Ear: External Canal: [Findings — if not provided, default to "normal"] Tympanic membrane: [Findings — if not provided, default to "normal"] Right Ear: External Canal: [Findings — if not provided, default to "normal"] Tympanic membrane: [Findings — if not provided, default to "normal"] Oral Cavity: [Findings — if not provided, default to "normal"] Tonsils Gr: [Grade, for example: "1/4"] Investigations: [Investigation name and Results — if not provided, leave it blank] For example: SNOT 22 very low 8 Impression: 1. [Primary Diagnosis] 2. [Secondary Diagnosis] 3. [Additional Diagnoses — if applicable] Plan: 1. [Treatment Plan/Medication Instructions] 2. [Recommended Tests/Procedures] 3. [Follow-up Instructions] For example: 1. dermotic weekly /ears dry 2. SLIT daily until end of Jan 2026 3. spirometry and methacholine challenge 4. follow up 6 months Thank you for involving me in the care of your patient.