Page 1 of 6

TATA MOTORS HOSPITAL Chapter Name: AAC

Policy& Procedure for referral of patients to other Document No.: TMH/AAC/QSP/04

departments/specialties

Policy& Procedure for referral of

patients to other departments/specialties

Approved By: Medical Director

Issue No. : 01
Quality System
Issued By: Quality Manager Procedure Rev. No. : 00
Issue Date: Rev. Date: 00
 Page 2 of 6

TATA MOTORS HOSPITAL Chapter Name: AAC

Policy& Procedure for referral of patients to other Document No.: TMH/AAC/QSP/04

departments/specialties

AUTHORIZED SIGNATORY

1. Approved By Medical Director

2. Issued By Quality Manager

Approved By: Medical Director

Issue No. : 01
Quality System
Issued By: Quality Manager Procedure Rev. No. : 00
Issue Date: Rev. Date: 00
 Page 3 of 6

TATA MOTORS HOSPITAL Chapter Name: AAC

Policy& Procedure for referral of patients to other Document No.: TMH/AAC/QSP/04

departments/specialties

AMENDMENT SHEET

Sl. Page No. Clause No. Date of Amendment Made Reasons Signature of Quality
Amendment Manager
No.

Approved By: Medical Director

Issue No. : 01
Quality System
Issued By: Quality Manager Procedure Rev. No. : 00
Issue Date: Rev. Date: 00
 Page 4 of 6

TATA MOTORS HOSPITAL Chapter Name: AAC

Policy& Procedure for referral of patients to other Document No.: TMH/AAC/QSP/04

departments/specialties

INDEX

Sl. No. Policy & Procedure Page No.

1 Policy& Procedure for referral of patients to other 5-6

departments/specialties

Approved By: Medical Director

Issue No. : 01
Quality System
Issued By: Quality Manager Procedure Rev. No. : 00
Issue Date: Rev. Date: 00
 Page 5 of 6

TATA MOTORS HOSPITAL Chapter Name: AAC

Policy& Procedure for referral of patients to other Document No.: TMH/AAC/QSP/04

departments/specialties

POLICY & PROCEDURE FOR REFERRAL OF PATIENTS TO OTHER

DEPARTMENTS/SPECIALTIES:

1. POLICY:
The Primary consultant, after consultation shall discuss with the patient and/or his/her next of
kin about referring the patient to another physician.

2. PURPOSE:
To be able to assist patients in availing the required medical services by referring them to
concerned specialists or departments within or outside the Hospital (when facilities not
available).

3. SCOPE:
All patients who requires internal referral to any department/specialties..

4. RESPONSIBILITY:
Primary consultant, Duty RMO, Nurse.

5. DISTRIBUTION:
Nursing Administration, Medical administration.

Approved By: Medical Director

Issue No. : 01
Quality System
Issued By: Quality Manager Procedure Rev. No. : 00
Issue Date: Rev. Date: 00
 Page 6 of 6

TATA MOTORS HOSPITAL Chapter Name: AAC

Policy& Procedure for referral of patients to other Document No.: TMH/AAC/QSP/04

departments/specialties

6. PROCEDURE:

Referral within the hospital:

1. Once the primary consultant arrives at a conclusion about the patient requiring another
physician’s advice, he / she shall discuss and explain the need for referral with the
patients and / or his/her next of kin.
2. Subject to patient conceding, he/she is directed to the nurse/GRE for making a new
appointment and proceeding for necessary consultation.
3. The concern RMO is also informed by nurse about the referral and the concern RMO
shall inform the referring doctor.
4. Primary consultant writes in the treatment sheet for referral and also gives a grade like
URGENT, ROUTINE.
5. All the referrals shall be seen within 24 hrs from the referral or on the urgency of the
referral.

Approved By: Medical Director

Issue No. : 01
Quality System
Issued By: Quality Manager Procedure Rev. No. : 00
Issue Date: Rev. Date: 00