Discharge Instructions Template
Home care instructions for your pet
01
About today’s visit
02
Medications
Give exactly as directed. Don’t stop early unless we tell you to.| Medication | What it’s for | How much | How often | For how long | Next dose due |
|---|---|---|---|---|---|
03
Feeding
04
Activity
05
Incision & bandage care
Call us right away if you notice any of theseTicked items are the ones your veterinarian wants you to watch most closely.
06
Home check log
Jot down how the first week goes and bring it to your recheck| Day | Date | Eating | Energy | Toilet | Incision / wound | Meds AM | Meds PM | Notes |
|---|---|---|---|---|---|---|---|---|
| 1 | ||||||||
| 2 | ||||||||
| 3 | ||||||||
| 4 | ||||||||
| 5 | ||||||||
| 6 | ||||||||
| 7 |
07
Follow-up
Instructions received by (client) signature
Discharged by signature