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Home > Health Professionals > Nephrology Consult Letter Template
Health Professionals

Nephrology Consult Letter Template

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

You enter patient information into the Consult Letter 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 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

   

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Last Reviewed: December 28, 2005

NKDEP is an initiative of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK),
National Institutes of Health (NIH), U.S. Department of Health & Human Services (DHHS).

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