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Surgical Clearance Form

Download a free Surgical Clearance Form for streamlined clinical documentation. Get our PDF to create well-organized clearance forms for your patients.

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By Ericka Pingol on Aug 2, 2025.

Fact Checked by Ericka Pingol.

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Surgical Clearance Form Template

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Commonly asked questions

A physical examination is a critical component of the surgical clearance process. It assesses a patient's overall health and determines if any underlying conditions could increase the risk during surgery. The examination findings can influence pre-operative planning and post-operative care.

Yes, poor results on a physical examination can indicate an increased risk of complications during and after surgery, particularly for noncardiac surgery. Conditions such as uncontrolled diabetes, hypertension, or respiratory diseases can significantly affect surgical outcomes.

While the extent of surgical clearance can vary, it is generally recommended for all noncardiac surgeries, especially for patients with known medical conditions. Surgical clearance helps ensure that the patient and surgical team are prepared for any potential risks associated with the patient's health status.

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