Consult request and response

Clear question, relevant background, and actionable recommendations.

Setting: Inpatient / outpatient

REQUEST
Requesting clinician: [name]    Urgency: [routine / urgent / emergent]
Clinical question: [specific question]
Pertinent background: [brief]

RESPONSE
Reason for consult: [restate]
Findings: [history, exam, data]
Impression: [assessment]
Recommendations:
1. [recommendation]
2. [recommendation]
Follow-up: [will follow / sign off]