1, the record of applying for consultation should briefly explain the patient's condition and diagnosis and treatment, and the reason and purpose of applying for consultation. When applying for consultation, it is necessary to clearly describe the patient's condition and diagnosis and treatment, explain why consultation is needed, and hope to achieve what purpose through consultation.
2, consultation records should include consultation opinions, consultant's department or medical institution name, consultation time and consultant's signature, etc. In the consultation record, the consultant should provide consultation opinions, including the evaluation, diagnosis and treatment suggestions of the patient's condition. At the same time, it should also indicate the name of the department or medical institution where the consultant is located, as well as the time of consultation and the signature of the consultant.