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Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Severe thyroid eye disease
    • Pregnant
    • Newly diagnosed symptomatic thyrotoxicosis with T4 and/or T3 >2x normal
    • Inadequate response to anti-thyroid medication or intolerant of medication
  • Category 2
    (appointment within 90 calendar days)
    • Hyperthyroidism that is stable with GP initiated therapy or T4 and/or T3 <2x normal
  • Category 3
    (appointment within 365 calendar days)
    • No category 3 criteria

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • Duration of symptoms
  • Associated symptoms
  • Relevant current and previous drug use (e.g. amiodarone, lithium)
  • Recent potential iodine source (e.g. contrast media, kelp and alternative therapies)
  • Recent pregnancy
  • Concomitant medical problems and family history
  • TFTs – TSH, T4, T3
  • TSH receptor antibodies

3. Additional referral information Useful for processing the referral

  • Nuclear technetium thyroid scan if cause of thyrotoxicosis unclear
  • Weight, height, BMI and weight history (weight loss or weight gain)

4. Request

Last updated: 13 June 2023