Skip links and keyboard navigation



Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Suspected subacute thyroiditis or confirmed secondary hypothyroidism (low T4 without a raised TSH)
    • Pregnant and postpartum thyroiditis
  • Category 2
    (appointment within 90 calendar days)

    NB Category 2 cases can be referred to local/regional general physician if endocrinologist access is not locally available

    • Hypothyroidism with difficulty normalising TFTs despite thyroxine therapy
    • Hypothyroidism within 12 months of delivery of a child
    • Pre-pregnancy counselling
  • Category 3
    (appointment within 365 calendar days)
    • Problems with management of primary or secondary hypothyroidism

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

  • TSH, free T4
  • Thyroid antibodies if primary hypothyroidism
  • Specific thyroid history eg thyroiditis, thyroid disease in pregnancy, mx hyperthyroidism

3. Additional referral information Useful for processing the referral

  • Weight, height, BMI and weight history (weight loss or weight gain)
  • Family history

4. Request

Last updated: 13 June 2023