Vet Discharge Instructions: Templates That Work

The single highest-leverage piece of paper in your clinic is the discharge instructions. A clear discharge prevents the "is this normal?" call at 11 PM and the second visit that should have been a phone confirmation.
The Six Things Every Discharge Needs
- Diagnosis in plain English — "ear infection," not "otitis externa with Malassezia overgrowth."
- Medication table — drug, dose, route, frequency, duration, with food/without.
- What to watch for — three concrete signs that warrant a callback.
- Activity restrictions — with a number, not "rest." ("Leash walks 10 min, 3× per day.")
- Recheck — date and what we're checking.
- 24/7 callback path — clinic line + after-hours ER number.
Surgical Discharge Template
Procedure: ___ Today: We placed ___. The surgery went well. Medications: - ___ : ___ mg, by mouth, every ___ hours, for ___ days. With food. - ___ : ___ mg, by mouth, every ___ hours, for ___ days. Activity: - No running, jumping, or stairs for ___ days. - Leash walks only. - E-collar on at all times until sutures are out. Watch for and call us if: - Redness, swelling, or discharge at the incision - Vomiting more than twice - Not eating after 24 hours Recheck: ___ at ___ After hours: ___
Dental Discharge Template
Today: ___ teeth cleaned, ___ extractions performed. Soft food only for ___ days. No chew toys, bones, or hard treats for ___ days. Medications: - Pain meds: ___ - Antibiotics (if extractions): ___ Call if you see: - Bleeding from the mouth - Refusing to eat for >24 hours - Pawing at the face
Sick-Visit Discharge Template
The Trap
Let the Discharge Write Itself
Chartling generates a plain-language client discharge from the same exam conversation that drafts your SOAP — medications, watch-fors, and recheck date filled in automatically.
Frequently Asked Questions
What should a veterinary discharge include?
Diagnosis, medications with dose/frequency/duration, watch-fors, activity restrictions, recheck schedule, and a 24/7 callback number.
What reading level should it target?
6th-grade level. Stressed clients don't retain jargon — short sentences and bullets.
Should discharge be printed or emailed?
Both — print at handoff, email or text the digital copy for re-reference later.
Discharge Written, Printed, Sent
Chartling drafts both the medical record and the client discharge from the same recording.
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