It is best to send a referral through Heilsugátt (Health Portal): Tilvísanir (Referrals) / Göngudeild Gigt (Rheumatology Outpatient Clinic)

The Rheumatology Outpatient Clinic accepts referrals for:

The Rheumatology Outpatient Clinic does not accept referrals for the treatment of fibromyalgia, Ehlers-Danlos, or osteoarthritis.

Information in Referrals to Landspítali Rheumatology Outpatient Clinic:

All referrals should include information about medication, history, examination, and family history of rheumatic disease. Also, general blood tests (no older than 1 month) should be taken: Complete Blood Count (Blóðhagur), CRP, ESR (sökk), Creatinine, ALAT. In addition, we request that referrals contain the following information:

If Connective Tissue Disease is Suspected (SLE, SSc, Sjögrens, APS)

If the patient has the following symptoms, please describe further:

• Alopecia, significant hair loss

• Dry eyes, dry mouth

• Sun sensitivity (photoallergy)

• Eye inflammation (uveitis)

• Skin rash (especially butterfly rash, telangiectasias, skin hardening)

• Joint pain, joint inflammation, morning stiffness

• Blood clots, miscarriages

• Raynaud's

• Chest pain due to pleural irritation, shortness of breath

• Difficulty swallowing

• Tests: ANA and ENA blood test and urine test

If Inflammatory Joint Disease is Suspected (RA, PsA, ReA)

If the patient has the following symptoms, please describe further:

• Joint inflammation/joint pain and in which joints

• Skin rash – psoriasis

• Morning stiffness

• Tests: RF and/or anti-CCP and uric acid (blood test)

If PMR or GCA is Suspected

If the patient has the following symptoms, please describe further:

• Joint inflammation / joint pain and in which joints

• Morning stiffness

• Can get up from a chair without using hands

• Can lift arms

• Response to steroid treatment

• Symptoms of GCA are present, i.e., new headache over temples, jaw claudication, scalp tenderness, visual disturbances

If Spondyloarthritis (ankylosing spondylitis) is Suspected

If the patient has the following symptoms, please describe further:

• Joint inflammation/ joint pain and in which joints

• Back pain, location

• Morning stiffness, night pain

• Do pains improve/worsen with rest or movement, anti-inflammatory drugs

• Skin rash – psoriasis

• Tests: A CT scan or MRI of the spine and SI joints is recommended.

Referrals

• Acute Care: Referrals for acute care are accepted from professionals within Landspítali, especially from the emergency department and the Landspítali Emergency Department.

• Treatment Line: Professionals inside and outside of Landspítali are welcome to refer patients if PTSD is suspected to be the main issue, in conjunction with other mental health disorders.

Referrals should be sent to the intake team of the Mood Disorder Treatment Unit, and it is essential to include a rationale describing the current active PTSD symptoms and the trauma that caused them.

We encourage those who seek advice or need their issue assessed to consult their general practitioner, who will evaluate the case and send a referral to the Eating Disorder Team at Landspítali if necessary.

It is essential to include a rationale describing the current active symptoms and the trauma that caused them.

Professionals send a referral including the following information (in icelandic):

To apply for the services of the community mental health team, a request must be submitted to the intake team for psychosis treatment.

Once a request has been received by the team, it is reviewed within two weeks. At that point, it is assessed whether the individual is considered to be in the target group of the community mental health team. If so, the person is called in for a preliminary interview as soon as possible.

The Depression and Anxiety Team (ÞOK) is a multidisciplinary outpatient team that provides diagnosis and treatment for severe anxiety and depressive disorders when milder treatments have not been effective.

Professionals send a referral including the following information (in icelandic):

The DBT Team (DAM teymi) is a multidisciplinary team that provides Dialectical Behaviour Therapy (DBT) for individuals with severe emotional difficulties.

Professionals send a referral including the following information (in icelandic):

The Bipolar Disorder Team is a multidisciplinary outpatient team that provides specialized treatment for individuals with bipolar disorder.

Professionals send a referral including the following information (in icelandic):

The outpatient department for mental health and addiction accepts referrals from psychiatric inpatient units, emergency departments of Landspítali, other healthcare institutions, child protection services, and municipal social services.

Laugarás is for young people (18 - 35 years old) with early-stage psychotic disorders

Any professional can send a request to Laugarás and the Psychosis Team.

Request for Laugarás

• go through the SAGA system. See instructions about requesting a treatment through Saga in Icelandic (pdf)

• by mail, send to Assessment Team of Laugarás - Laugarásvegur 71, 104 Reykjavík.

Request for psychosis team

• should be submitted through the SAGA system and sent to the intake team of outpatient services.

What needs to be included in the request:

Instructions - what should be included in a request (.pdf) for Laugarás and Psychosis Team

Further information

For more information, please contact the team leader of the Assessment Team.

You can contact Laugarás Treatment Psychiatric Unit and ask for the team leader of the Assessment Team at phone number 543 4650

Referrals to the intake team of the Mood Disorders Treatment Unit must be submitted electronically via Heilsugátt.
If that is not possible, referrals can be mailed to:
Inntökuteymi meðferðareiningar lyndisraskana,
Geðsvið Hringbraut, 101 Reykjavík.

The intake team meets once a week to review referrals.
If a referral is accepted, it is placed on a waiting list for the appropriate specialized outpatient team. The referring clinician receives a letter confirming whether the referral has been accepted.
If accepted, the patient receives a letter with information about the estimated waiting time and will be contacted to schedule an appointment when their turn comes. If the referral is declined, the patient receives a letter stating this.

Guidelines for submitting referrals through Heilsugátt (in icelandic):

Professionals in a child's local area refer to the Child and Adolescent Psychiatry Department

Diagnosis and/or treatment teams, specialist physicians, primary care doctors, psychologists, and other specialists, as well as staff from social services, school services, and Child Protective Services, refer to the service. These professionals assess the problem in the context of the child's family, environment, and school, and provide appropriate support and treatment options.

Before a child is referred to the Child and Adolescent Psychiatry Department

If there is a shared assessment of the need for more specialized services, it is the responsibility of the specialist who performed the initial assessments and preliminary diagnosis to send a referral to BUGL.

Referral

The following must be sent to the BUGL Admissions Team:

• A completed (.pdf in Icelandic) form. The referrer fills it out, and a local doctor or another doctor who has attended to the child must sign the referral to ensure continuity and follow-up in the child's treatment. The form can be filled out digitally and then printed.

• A completed (.pdf) form. It is necessary for parents to sign the Authorization to Obtain and Provide Information. If there are two legal guardians, both must agree to the referral, but one signature is sufficient.

• A preliminary diagnosis.

• Information about the child's issue.

• Results from developmental assessments, such as WISC-IV or WIPSI tests.

• Results and numerical data, profiles of other assessment lists and screening or diagnostic tools.

• Other diagnoses, results, and data that can shed light on the case.

All professionals can contact the team.

• Within Landspítali, requests are sent to the hospice counseling team as a "Request for advice" in Saga.

• Outside Landspitali, a “referral” is sent to Heilsugátt

It is important that a request state the reason for seeking counsel. The team’s employees evaluate the request within 24 hours.

Information on how to apply for the Home Service of the HERA can be found in the quality manual.

Requests for research are in the quality handbook.

It is important to fill in the request well. The laboratory staff will provide information as needed.

Samples

Most DNA-based molecular genetic studies require 4 ml EDTA anticoagulant blood.

• It is important to roll the bottle several times

• The sample is stable at room temperature for 3 days

• If you have any doubts about the sample tube type, ask the laboratory for advice.

Samples must be sent to a laboratory in building K near Hringbraut for sampling.

References should be received

either in:

• Saga, on a form under references between institutions. Mark the recipient of the geriatrics outpatient clinic.

• Heilsugattl, electronically, if available to the physician in question.

It must be stated:

• reason for the reference

• health history

• patient's medication

• name and contact number of the doctor who sends the request.

Bear in mind:

• The referring physician must have assessed as far as possible whether there is a temporary condition that could be caused by stress, trauma or physical illness.

• It is preferable that the referring physician has assessed cognitive abilities with an interview with the patient and family member where appropriate and with simple tests such as MMSE and a clock test.

The Landspítali Pain Management Center provides care for individuals experiencing severe or persistent pain that has not responded to conventional treatment or requires specialized intervention. Demand for the service is high, so it is important that the patient has undergone appropriate evaluation and received recommended treatments before a referral is made. Comprehensive information must accompany all referrals to ensure proper prioritization and triage.

Only electronic referrals sent through the Saga system and addressed to the Landspítali Pain Management Center are accepted. Please include the following information before sending a referral:

• Personal information, employment status, and social circumstances

• Description of the problem: pain location, onset and circumstances, characteristics of the pain, and its impact on daily life. Include details of previous treatments.

• Results of imaging and other diagnostic tests performed to investigate the pain

Request for consultation for inpatients:
Requests for consultation must be sent through Saga and addressed to the Pain Management Center (from the requesting ward). Requests are answered as soon as possible, but same-day consultation cannot be guaranteed. If the case is urgent, it is recommended to call and inform the Pain Management Center of the request.
See the procedure Request for consultation from the Pain Team in the Landspítali Quality Manual.

Please note: For urgent advice regarding acute pain, contact the on-call anesthesiologist.

After initial assessment, the physician refers the patient to the Landspítali Sarcoma Team through Heilsugátt.
The following tests must be completed before referral:

• MRI of soft tissues

• X-ray and CT scan of bones

Professionals who do not have access to Saga or Heilsugátt can send certain referrals to Landspítali through Signet Transfer.

Signet Transfer is a software solution that allows authorized users to send sensitive information to other parties or institutions. All documents are encrypted end-to-end according to standards, and receipt of documents is confirmed using electronic ID. This ensures that no unauthorized party can access the data transfer.

Sign in to Signet Transfer
Questions and answers about Signet Transfer