{{#if schoolLogoUrl}} {{schoolName}} {{else}} {{schoolInitial}} {{/if}} {{schoolName}}

Hello, {{guardianName}}

{{studentName}} ({{admissionNumber}}) has been referred for medical attention at a health facility.

{{urgencyLevel}} REFERRAL

{{#if isEmergency}}Immediate medical attention required{{else}}Professional evaluation needed{{/if}}

Student{{studentName}}
Admission Number{{admissionNumber}}
Class{{className}}
Referral Date & Time{{referralDateTime}}
Referred By{{referredBy}}
Referral ID{{referralId}}

Reason for Referral:

{{referralReason}}

{{#if symptomsNoted}}

Symptoms Noted:

{{symptomsNoted}}

{{/if}}

Referred To:

{{facilityName}}

{{facilityAddress}}

{{facilityPhone}}

{{#if facilitySpecialist}}

Specialist: {{facilitySpecialist}}

{{/if}}
{{#if transportArranged}} {{#if estimatedArrival}} {{/if}}
Transport Details
Mode{{transportMode}}
Accompanied By{{accompaniedBy}}
Est. Arrival{{estimatedArrival}}
{{/if}}

Please Bring:

  • Student's health insurance card/NHIF card
  • Identification documents
  • This referral notification (printed or on phone)
    • {{#if medicalHistory}}
  • Any relevant medical history documents
    • {{/if}} {{#if currentMedications}}
  • List of current medications: {{currentMedications}}
    • {{/if}}
{{#if isEmergency}}Please proceed to facility immediately. School staff will accompany student.{{else}}Please collect student and proceed to facility as soon as possible.{{/if}}
Download Referral Letter

Update us on the outcome. Emergency: {{emergencyPhone}} | Nurse: {{nursePhone}} | {{supportEmail}}

© {{currentYear}} Drewsky Softwares · CBC School Management System

Automated message. Medical emergency? Call {{emergencyPhone}}