Renal Physicians Association - Consult Letter Template

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Renal Physicians
Association
1700 Rockville Pike
Suite 220
Rockville MD 20852
Phone: 301-468-3515
Fax: 301-468-3511
EMail: rpa@renalmd.org

Developed by the Renal Physicians Association and the National Kidney Disease Education Program, the Nephrology Consult Letter Template is a timesaving tool designed to help nephrologists communicate clearly and quickly with patients’primary care providers.

You enter patient information into the Template—it does the rest. It calculates estimated GFR, generates a list of comprehensive, CKD stage-specific next steps, and allows you to easily delineate areas of care.

Intended to supplement a standard consult note, final letters can be saved locally onto a hard drive or printed out on your letterhead. The letters can then be sent electronically or mailed to your patients' primary care providers.

To use this free tool, please select a method below:

Use the Online Template

Please note that the patient information entered into the Template will not be stored or saved on this website or on your computer. Instructions for saving final letters are provided on the instructions page.

(Those using assistive technology are encouraged to use the online version.)

Online Template Instructions

Download the Prototype Template

A prototype version of the Template is now available as a downloadable PDF. (Adobe Acrobat Reader 5 or a later version is required.)

Please note that the patient information entered into the Template will not be stored or saved in this Template or on your computer. Instructions for saving final letters are provided on the instructions page.

Downloadable Prototype Template Instructions

If you experience technical difficulties please contact rpa@renalmd.org.

Disclaimer
Medical or health information provided on this site is designed to support, not replace, the relationship that exists between a patient or site visitor and his/her physician. With respect to documents available from this website, neither the Renal Physicians Association nor any of its employees make any warranty, express or implied, including the warranty of fitness for a particular purpose, or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or represent that its use would not infringe privately owned rights. The physician utilizing this letter template is solely responsible for reviewing the generated letter for accuracy before transmittal.