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Pre-Op Clearance

Pre-operative evaluation documenting the planned procedure, anesthesia history, airway, functional capacity, perioperative risk, and medication management recommendations.

Included on every plan, including Free.

Layout preview with this template’s real sections. The content comes from your visit.
  1. Choose this templatePick it when you start a visit, or make it your default.
  2. Record the visitIn the room, over telehealth, or by dictation afterwards.
  3. Review, edit and signThe draft arrives in these sections, ready for your review.

What’s in this template

12 sections, in the order they appear in the finished document.

  1. 1Planned ProcedureBullets
  2. 2History of Present IllnessParagraph
  3. 3Past Medical History by SystemBullets
  4. 4Anesthesia & Surgical HistoryBullets
  5. 5MedicationsBullets
  6. 6AllergiesBullets
  7. 7Social HistoryBullets
  8. 8Functional CapacityParagraph
  9. 9Physical ExamAuto
  10. 10Pre-Operative TestingBullets
  11. 11Perioperative Risk AssessmentParagraph
  12. 12RecommendationsBullets

“Auto” sections use whichever format reads most clearly for what was discussed: prose or a list.

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