# Reference: Referrals View (= Contact) > Extracted from goal.md — Referrals View section. Contact information presented as a clinical referral form. --- ## Overview Contact information presented as a clinical referral form — the mechanism for "referring" a patient (Andy) to another service. ## Referral Form Layout ``` +--[ New Referral ]-------------------------------------------------------+ | | | Referring to: CHARLWOOD, Andrew (Mr) | | NHS Number: 221 181 0 | | | | Priority: ( ) Urgent (*) Routine ( ) Two-Week Wait | | | | Referrer Name: [________________________] | | Referrer Email: [________________________] | | Referrer Org: [________________________] (optional) | | | | Reason for Referral: | | [ ] | | [ ] | | [ ] | | | | Contact Method: ( ) Email ( ) Phone ( ) LinkedIn | | | | [ Cancel ] [ Send Referral ] | +-------------------------------------------------------------------------+ ``` ## Priority Toggle (tongue-in-cheek) Three radio options styled like clinical referral priorities: - **Urgent**: Red label, red dot. Selectable but the tooltip reads "All enquiries are welcome, urgent or not." - **Routine**: Blue label, blue dot. Default selected. - **Two-Week Wait**: Amber label. Tooltip: "NHS cancer referral pathway - this isn't that, but the spirit of promptness applies." This is the design's main moment of humor. The priority options are visually authentic to clinical referral forms, and the tongue-in-cheek tooltips reward exploration without undermining the professional tone. ## Form Fields Standard clinical form inputs: `1px solid #D1D5DB` border, `4px` radius, `8px 12px` padding. Labels in Inter 500, 13px, gray-600, positioned above inputs. Focus state: border changes to NHS blue, subtle blue glow (`box-shadow: 0 0 0 3px rgba(0, 94, 184, 0.15)`). ## Submit Button "Send Referral" in NHS blue (`#005EB8`), white text, full width of the right half of the form. On hover: darkens to `#004494`. On click: brief loading state (spinner icon), then a success message: ``` Checkmark Referral sent successfully Reference: REF-2026-0210-001 Expected response time: 24-48 hours ``` The reference number is generated from the current date. The success state mimics the confirmation screen shown after submitting a clinical referral in EMIS. ## Alternative Contact Methods (below the form) ``` +--[ Direct Contact ]-----------------------------------------------------+ | Email: andy@charlwood.xyz [Send Email ->] | | Phone: 07795553088 [Call ->] | | LinkedIn: linkedin.com/in/andycharlwood [View Profile ->] | | Location: Norwich, UK | +-------------------------------------------------------------------------+ ``` Styled as a simple key-value table, same format as the Patient Demographics card in Summary view.