CCN consult reply
Reply within seven days of the visit, through the referring clinician's secure channel. If results are pending, send a one-line interim note now and this reply when they are in.
| To | Referring clinician, practice, secure fax or address | ||
|---|---|---|---|
| From | Consultant and credentials, practice, phone, secure address | ||
| Visit date | Patient | Name, date of birth | |
| Your question | As written on the referral. | ||
| The answer | One or two sentences, first. | ||
| Who does what next | 1. ______ Who: ☐ me ☐ you ☐ patient When: ______ 2. ______ Who: ☐ me ☐ you ☐ patient When: ______ 3. ______ Who: ☐ me ☐ you ☐ patient When: ______ | ||
| Tests ordered | Test, laboratory, expected cash cost, who follows up the result. | ||
| Follow-up | ☐ I will see the patient again on ______ ☐ Back to you; call me if ______ ☐ shared care: ______ | ||
| Pending | What is outstanding, and when the full reply follows. | ||
| Questions | Best number or secure address for you to reach me | ||
| Signature | |||
Colorado Care Network referral standard: coloradocarenetwork.com/referrals
Colorado Care Network. CCN consult reply. Version 2026-10-30.