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Postoperative Instructions Document Template

Written instructions provided to patients after a surgical procedure.

Postoperative Instructions

Purpose: These instructions are provided to guide you through a safe and smooth recovery following your recent surgical procedure. Please read carefully and follow all directions. If you have questions, contact your healthcare provider.

Patient Information

Patient Name: {name}
Date of Surgery: {surgeryDate}
Procedure Performed: {procedureName}

Important Contacts

Contact Role Phone Number
{#contacts}{contactName}{role}{phoneNumber}{/contacts}

Postoperative Care Instructions

Wound Care:
{woundCareInstructions}

Medications:
Take your medications exactly as prescribed.

{#medications}

  • {medicationName}: {dosage}, {frequency} - {notes}

{/medications}

Activity Restrictions:
{activityRestrictions}

Follow-Up Appointments

{#appointments}

  • Date: {appointmentDate}, Time: {appointmentTime}, Location: {location}

{/appointments}

When to Call Your Doctor

Contact your healthcare provider immediately if you experience any of the following:

{#warningSigns}

  • {sign}

{/warningSigns}

Additional Notes

{additionalNotes}

Insurance Information

{#hasInsurance}

Insurance Provider: {insuranceProvider}
Policy Number: {policyNumber}

{/hasInsurance}

{^hasInsurance}

Note: This patient does not have active insurance on file.

{/hasInsurance}

Attestation

I, {name}, confirm that I have read and understood the postoperative instructions provided by my healthcare team.

Patient Signature: _____________________________
Date: {currentDate}

This document template includes dynamic placeholders for automated document generation with Documentero.com. Word Template - Free download

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Populate templates with your data and generate Word (DOCX) or PDF documents using data collected from shareable web Forms, APIs, or Integrations.

Use Cases

Automate Postoperative Instructions Using Forms

generate postoperative instructions from patient form submission
create discharge instructions using digital surgery follow-up form
automatically generate surgery aftercare instructions via HIPAA-compliant web form
produce patient-specific post-op care guides from online intake form
build customized postop instructions from mobile consent form data

Generate Postoperative Instructions Using APIs

automatically generate postoperative instructions via EMR system API
trigger surgical follow-up document creation from hospital management software
create personalized post-op care plans using API from patient monitoring tools
generate discharge instruction documents programmatically from scheduling system
bulk-generate postoperative instruction documents for multiple patients via API

Integrations / Automations

generate post-op instructions from Google Forms using Zapier
create discharge documents from JotForm responses using Make automation
automatically send post-surgery instructions to patients using HubSpot workflow
trigger postop instruction PDF generation from Airtable using Zapier
connect EHR system to document generation platform using Make for surgical aftercare docs

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