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Introduction: The Occupational Diseases Ambulatory (ADO) is part of the Medical Residency in Occupational Medicine program at the hospital in this study and serves a population mainly from the city of São Paulo with work-related pathologies. In recent years there has been a significant reduction in the number of calls. The ADO depends on referrals from other hospital specialties and external institutions. Analyzing the outpatient services, an opportunity was perceived to strengthen referrals from the Reference Centers for Worker’s Health (CRST). Objective: To analyze the reduction in attendances and produce a booklet for CRST and other SUS health services to refer patients to the ADO. Method: The spreadsheet filled in by the service’s resident physicians was evaluated and, initially, CRST was defined as the greatest opportunity to recruit patients. After this first stage, an unstructured interview was carried out by telephone or video call with the coordinators of the six CRST in the city of São Paulo. In a third moment, one of the CRST was visited to understand the care routine and proposal of the referral booklet. Results: A total of 1671 ADO consultations were evaluated from 2005 to 2019. The unstructured interviews showed that the reduction in the number of consultations also affected the CRST for reasons similar to those of the ADO. The visit to the unit contributed to improving the material, making it more effective, and counter-referral opportunities were identified, that is, referrals from the ADO to the CRST. The final version of the booklet will serve as an information and reference for CRST staff or other health services referring patients to the ADO. Conclusion: During the research, it was possible to understand the multifactorial scenario related to reductions in attendances. The booklet proved to be an effective tool in directing patients to the ADO.
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