Free · Unbranded · Medical records
The operative record for the chart: who did what, what was found, how it was closed, and what happens next. It is laid out in the order a surgery is actually written up, with real room for findings and technique, so the report gets finished before the next case starts.
Unbranded: no logo or linksNo account neededPrint at 100% on US LetterUpdated
What’s on the form
Signalment, date, procedure performed, pre-op and post-op diagnosis, and the elective, urgent, or emergency box.
Surgeon, assistant, anesthetist, ASA status, and anesthesia and surgery start and end times.
Positioning, clip and prep, the approach used, and the length of the incision.
What was found on entry and how the procedure was done, written as the record of the operation.
A layer-by-layer table for suture material, size, and pattern, plus drains, implants, and blocks.
Biopsies submitted and to which lab, complications, estimated blood loss, and post-op orders with the recheck date.
Fill in online
Every line on the form is editable right here. When you’re done, print it or choose “Save as PDF” in the print dialog. Everything stays in your browser.
Click any line to type, or add your logo. Nothing is uploaded or saved.
Using it well
Details like suture size and the exact location of a mass are easiest to record while you still remember them.
If a patient comes back with a dehiscence or a reaction, the next clinician needs to know exactly what was used and where.
Write the lab and the date sent. A missing histopathology result is much easier to chase with that line filled in.
Printing, editing, and what the form does and doesn’t cover.
Typically the patient and date, the procedure, the surgical team, the pre-op and post-op diagnosis, the approach, intraoperative findings, the technique, closure materials, complications, specimens submitted, and post-operative orders. Your state may set specific record requirements.
No. The anesthesia record documents drugs and monitoring during the procedure. The surgical report documents the operation itself. Most practices keep both for every surgical case.
Yes. Fill in the online version on this page, then print it or save it as a PDF. Nothing you type is stored by VetStack.
It works for any procedure, but dental cases are better documented on the dental chart, which records findings and treatment tooth by tooth.
2 pages, US Letter, landscape
A landscape anesthesia record built the way monitoring actually happens: pre-anesthetic checks and every drug on page one, then a 5-minute vitals grid, the procedure timeline, and recovery on page two.
2 pages, US Letter, portrait
An admission consent form for anesthesia and surgery. It captures the procedure and estimate, fasting and medications, the client’s decisions on bloodwork, fluids and resuscitation, and what to do if something unexpected is found.
2 pages, US Letter, portrait
A take-home sheet for the two weeks after a spay or neuter: how to keep your pet quiet, why the cone stays on, what a healing incision should look like, and the signs that mean you should call. Page two is a daily incision log to bring to the recheck.
A starting point, not legal or clinical advice. VetStack’s forms are general templates. Requirements for medical records, consent, and controlled substances vary by state and practice, so review the wording with your practice’s attorney and check your state veterinary board’s rules before adopting a form as standard.