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Free template

Pre-op patient information leaflet template

Everything a patient asks the secretary the week before surgery, written down once.

Download the PDFFree, no sign-up. Fill it in on screen or print it.
Pre-op patient information leaflet template: page one of the PDF

What it asks for

What is on the formThe patient completes

  • Who it is for, date of operation and arrival time
  • Your procedure
  • Before: eating and drinking, your medicines, the morning of the operation, smoking and vaping
  • What to bring: this letter, a list of medicines, comfortable clothes, slippers and a wash bag, a phone charger
  • On the day, after the operation, and when to call us

Using it well

  • Fill in the fasting and medicines sections from your anaesthetist's instructions for this patient.
  • Give the phone number that is answered, and say when it is answered.

Open it in the sample practice

The sample practice is the real Ask Brigid on invented patients, open without a sign-up. This document joins its Library with the next sample-practice update; the Library already holds the practice’s templates.

Sources

Checked against the sources above on 23 September 2026. Issuers change their forms; check the official page before you rely on a detail here.

In Ask Brigid this paperwork sits beside the diary and the record: Letters, inbox and the secretary’s day.

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