OMS-FRM-001: Specialist consultation record

Standards › Standard 59 › Forms

Form · OMS-FRM-001 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 59.2

Purpose

Records the assessment, consent, outcome and the letter sent to the referring clinician for each specialist consultation.

How to complete

• Record the assessment and the findings.
• Record the consent and any procedure done.
• Record the outcome and the date the letter was sent.

Checks

Check	Entry
Assessment recorded	Yes
Consent recorded (yes or no)	Yes
Clinician in scope (yes or no)	Yes
Outcome letter sent to referrer (date)	Yes

Evidence

Reference	Note
E-006	ASF Policy Framework v1.2. Adapted.
E-009	ASF Expert Committee consensus.

Change history

Version	Date	What changed	Approval
1.0	the date of approval	First version	set Expert Committee approval

E-learning for this document

• Care & Treatment: Twelve Clinical Criteria for Safe Ambulatory Practice (AMB-04)

References

• Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
• Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)