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Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • No defined category 1 criteria
  • Category 2
    (appointment within 90 calendar days)
    • No defined category 2 criteria
  • Category 3
    (appointment within 365 calendar days)
    • Clarification of diagnosis and/or management strategies for fibromyalgia

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

  • Details of treatments offered (if available)
  • Relevant history (Sleep disturbance, morning stiffness/fatigue, widespread myalgias)
  • Clinical examination including widespread tenderness, absence of swollen joints

3. Additional referral information Useful for processing the referral

  • Psychosocial evaluation
  • Anti-CCP and Rheumatoid Factor (RF),TSH, CK (if available)
  • Joint imaging (if available)

4. Request

Last updated: 13 June 2023