diff --git a/apps/web-antd/src/store/prescription.ts b/apps/web-antd/src/store/prescription.ts
index 07a3d730..37ce411c 100644
--- a/apps/web-antd/src/store/prescription.ts
+++ b/apps/web-antd/src/store/prescription.ts
@@ -367,8 +367,13 @@ export const usePrescriptionStore = defineStore('prescription', () => {
       const res = await getRegisterStoreInfoFn(Number(currentRegisterId.value));
       registerStoreInfo.value = res;
       
-      // 默认选择挂号诊所
-      if (res && res.store_id) {
+      // 如果是转诊挂号，自动使用承接方诊所ID（转接方开处方时）
+      if (res && res.is_from_transfer === 1 && res.delegate_store_id) {
+        // 转接方开处方时，自动设置store_id为承接方诊所ID
+        selectedStoreId.value = res.delegate_store_id;
+        sendMode.value = 1; // 使用自定义模式，但使用承接方诊所ID
+      } else if (res && res.store_id) {
+        // 非转诊挂号，默认选择挂号诊所
         selectedStoreId.value = res.store_id;
         // 如果挂号诊所与医生当前诊所不同，设置为自定义模式
         if (res.can_change) {
@@ -414,8 +419,13 @@ export const usePrescriptionStore = defineStore('prescription', () => {
     return currentStoreName.value;
   });
 
-  // 是否可以更改诊所（使用后端返回的 can_change 字段）
+  // 是否可以更改诊所（转诊挂号时不允许更改，使用承接方诊所ID）
   const canChangeStore = computed(() => {
+    // 如果是转诊挂号，不允许更改诊所（自动使用承接方诊所ID）
+    if (registerStoreInfo.value?.is_from_transfer === 1) {
+      return false;
+    }
+    // 非转诊挂号，使用后端返回的 can_change 字段
     return registerStoreInfo.value?.can_change === true;
   });
 
@@ -794,6 +804,16 @@ export const usePrescriptionStore = defineStore('prescription', () => {
       return false;
     }
     try {
+      // 如果是转诊挂号，自动使用承接方诊所ID（转接方开处方时）
+      let finalSendMode = customSendMode;
+      let finalStoreId = customStoreId;
+      
+      if (registerStoreInfo.value?.is_from_transfer === 1 && registerStoreInfo.value?.delegate_store_id) {
+        // 转接方开处方时，自动使用承接方诊所ID，不需要在模态框选择
+        finalSendMode = 1;
+        finalStoreId = registerStoreInfo.value.delegate_store_id;
+      }
+      
       const response = await addWestPrescription({
         patient: activePatient.value,
         drugs: currentDrugs.value,
@@ -818,9 +838,9 @@ export const usePrescriptionStore = defineStore('prescription', () => {
         diseases_id: diseasesSelected.value,
         method_id: methodSelected.value,
         syndrome_id: syndromeSelected.value,
-        // 诊所选择参数（使用传入的参数）
-        send_mode: customSendMode,
-        custom_store_id: customSendMode === 1 ? customStoreId : null,
+        // 诊所选择参数（转诊挂号时自动使用承接方诊所ID）
+        send_mode: finalSendMode,
+        custom_store_id: finalSendMode === 1 ? finalStoreId : null,
       });
       
       const res = await response;
diff --git a/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue b/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
index 1bdae0f0..632008c3 100644
--- a/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
+++ b/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
@@ -213,10 +213,14 @@ const handleSendPrescription = async (doctorSecondSignValue = 0) => {
   await prescriptionStore.fetchRegisterStoreInfo();
 
   const canChange = prescriptionStore.canChangeStore;
+  const storeInfo = prescriptionStore.registerStoreInfo;
 
-  if (canChange) {
+  // 如果是转诊挂号，自动使用承接方诊所ID，不需要弹出诊所选择弹窗
+  if (storeInfo?.is_from_transfer === 1 && storeInfo?.delegate_store_id) {
+    // 转接方开处方时，自动使用承接方诊所ID
+    await executeSendPrescription(doctorSecondSignValue, 1, storeInfo.delegate_store_id);
+  } else if (canChange) {
     // 弹出诊所确认弹窗 - 直接从 registerStoreInfo 获取诊所信息
-    const storeInfo = prescriptionStore.registerStoreInfo;
     storeConfirmModalApi.setData({
       registerStoreName: storeInfo?.store_name || '挂号诊所',
       registerStoreId: storeInfo?.store_id,