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Template content
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Consult Note Consult Request - Requesting clinician/service, date/time, and urgency (routine, urgent, emergent). - Specific consult question(s) to be answered. Patient Context - One-paragraph synopsis of relevant hospital/clinic course and why specialty input is needed now. History Pertinent to Consult - Focused HPI and history elements relevant to the consult question. - Pertinent medications, allergies, and prior specialty care. Exam / Data - Focused exam findings as performed. - Key labs, imaging, and studies reviewed with interpretation. Impression - Specialty diagnosis/differential answering the consult question. - Severity/acuity and contributing factors. Recommendations - Numbered, actionable recommendations (diagnostics, therapeutics, precautions, monitoring). - What the consulting service will do vs what is requested of the primary team. - Contingencies if the patient worsens. Follow-Up / Communication - Planned re-evaluation by consulting service, when to call back, and how recommendations were communicated to the team/patient.
When to use this template
What makes the structure useful, and which visits it fits best.
Why this template works
Structural advantages for real documentation
Best for
Visit types and clinicians who use this format
- Leads with the consult question so the reply stays focused and useful.
- Separates recommendations from narrative so primary teams can execute quickly.
- Works for inpatient and ambulatory specialty consultations.
- Makes acuity, follow-up ownership, and pending studies explicit.
- 1Inpatient specialty consults
- 2Ambulatory specialty consultation replies
- 3ED-to-specialty consultation documentation
Example output shape
Illustrative excerpt of how a visit can land in this structure. Not a real patient record—review and edit every note before signing.
Consult Question Cardiology asked to evaluate new AF with RVR and guide rate vs rhythm strategy; patient admitted for pneumonia. Context 72-year-old on hospital day 2 for CAP; overnight HR 130s irregular; BP stable. No known prior AF. On ceftriaxone/azithromycin; home metoprolol held on admission. Findings Alert, comfortable. HR 118 irregularly irregular, BP 128/76, SpO2 95% RA. No acute HF on exam. ECG: AF RVR, no ischemic ST changes. TSH pending. K 4.1, Mg 1.9. Impression New atrial fibrillation with RVR in setting of acute illness; CHA₂DS₂-VASc 4. Low suspicion for ACS as primary driver. Recommendations 1) Restart metoprolol tartrate 25 mg PO BID; hold if SBP <100 or HR <60. 2) Anticoagulate with apixaban unless bleeding contraindication—primary team to confirm CrCl. 3) Replete Mg >2. 4) Echo inpatient. 5) Rhythm control not indicated acutely if rate controlled and stable. Cardiology will follow daily; call for hypotension, ischemia, or failure of rate control.
How Wavo automates this
What the product actually does with your template.
2. Record or dictate
Capture the encounter with ambient recording or dictation. Wavo structures the note using your template.
3. Review and sign
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