Oral Surgery Pre-Operative Clearance Form
About this free form template

Streamline Oral Surgery Pre-Operative Assessments with Paperform

Preparing patients for oral surgery requires thorough medical documentation and risk assessment. This Oral Surgery Pre-Operative Clearance Form template helps dental surgeons, oral maxillofacial surgeons, and anesthesiologists gather essential patient information before surgical procedures—from wisdom tooth extractions to dental implants and corrective jaw surgery.

Why use Paperform for pre-operative clearance?

Managing pre-operative paperwork traditionally means juggling PDFs, phone calls, and incomplete information on the day of surgery. This template replaces that workflow with a professional, HIPAA-aware digital form that patients can complete from home, giving your surgical team time to review medical histories, flag potential complications, and coordinate with primary care physicians when needed.

The form systematically captures critical information including current medications, allergies, previous surgical complications, cardiovascular and respiratory conditions, bleeding disorders, and lifestyle factors that impact anesthesia safety. Conditional logic ensures patients only see relevant follow-up questions based on their responses, creating a streamlined experience while maintaining thoroughness.

Automate your surgical workflow with Stepper

Once a patient submits their pre-operative clearance form, you can use Stepper to automatically trigger your clinical workflow—send medical history summaries to the anesthesiologist, flag high-risk patients for additional cardiology clearance, update your practice management system, and send pre-op instructions tailored to the patient's medication schedule. This automation reduces administrative burden and ensures no critical step is missed before surgery day.

Built for dental and oral surgery practices

Whether you're a solo oral surgeon, part of a multi-specialty dental group, or work in a hospital-based maxillofacial surgery department, this template adapts to your protocols. Customize sections for your specific procedures, add your practice branding, and embed it directly on your website or send via patient portal links. With Paperform's calculation fields and conditional logic, you can even build in automated risk scoring based on ASA classification criteria.

Trusted by healthcare providers worldwide and designed with security in mind, Paperform gives your surgical practice the digital tools needed to improve patient safety, reduce day-of-surgery delays, and maintain comprehensive pre-operative documentation—all without requiring IT support or custom development.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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