Objective To understand the present situation of medical referral in community health service (CHS) institutions of Beijing and the demands for referral criteria.Methods A questionnaire survey was conduced among trainees of training program for key general practitioners form CHS institutions in Beijing.Results The present situation of referral was unsatisfactory;with a lower referral rate.The major problems were unsmooth referral channel between the higher level hospital and CHS institutions,more up-referral from CHS institutions to higher-level hospital,and no unified referral criteria.General practitioners had an urgent demand for referral criteria.Conclusion In order to improve the two-way referral system,the referral guidelines and referral indicators or main symptoms of diseases for CHS institutions should be made as soon as possible.