Refer a patient with suspected or confirmed ME/CFS to an appropriate specialist or specialist team if there is uncertainty about interpreting signs and symptoms at 3 months of persistent symptoms, or if further assessment is needed to confirm diagnosis and develop a care plan NICE NG206.
Adults should be referred directly to an ME/CFS specialist team to confirm their diagnosis and develop a care and support plan NICE NG206.
Children and young people diagnosed with ME/CFS after assessment by a paediatrician should be referred directly to a paediatric ME/CFS specialist team for further assessment and management NICE NG206.
Referral is also appropriate if there are new or deteriorating aspects of the condition, or if symptoms significantly impact daily activities, mental health, or require specialist intervention NICE CKS.