how to ask for a consult

so, we are learning a bit of the systems here at the hospital... it's one thing to figure out oncology in Tanzania, it's a whole other situation to figure out how the systems work... for example, if you need a consult (like from another service such as surgery or radiation oncology or nephrology or cardiology), you write a letter in the patient's file (chart) such as:

Dear Radiotherapists,
Would you kindly consult on the patient who has rhabdomyosarcoma of the orbit.  Please review the file and advise regarding treatment planning.  We are greatful for your assistance in the review of this patient.


Then, the patient is seen by the consultant who returns the file with a letter in the file containing what he or she recommends: 

Dear Oncologist,
Thank you for sending us your patient to review.  We will set up treatment and plan to continue with radiotherapy.


They are longer than that sometimes and sometimes much shorter.

Another version is just to call them on the phone, deliver the file and the patient to their office and then wait to see what happens. 

There are lots of other systems differences that we are gradually getting the hang of...