Surgical Clearance Letter Generator
Generate pre-operative clearance letters with risk assessments and recommendations. AI-powered surgical clearance in 30 seconds.
Generate Clearance Letter Free →What is a Surgical Clearance Letter?
A surgical clearance letter (also called pre-operative clearance or medical clearance for surgery) is a document from a physician certifying that a patient is medically stable to undergo a proposed surgical procedure. Surgeons require these letters to ensure patients can safely tolerate anesthesia and surgery.
These letters must include a thorough assessment of cardiac, pulmonary, and metabolic risk factors, document any chronic conditions that could affect perioperative outcomes, and provide specific recommendations for anesthesia management. Primary care physicians and specialists write dozens of clearance letters each month.
DocDraft's AI surgical clearance generator creates comprehensive pre-op letters in seconds. Input the patient's medical history, exam findings, and planned procedure — AI generates a professional clearance letter ready for the surgical team.
Surgical Clearance Letter Example
PRE-OPERATIVE MEDICAL CLEARANCE
Date: March 9, 2026
To: Dr. Sarah Williams, Orthopedic Surgery
RE: Pre-operative clearance for Karen Martinez, DOB 5/14/1962
Planned Procedure: Right total knee arthroplasty
MEDICAL HISTORY:
- Hypertension — well-controlled on lisinopril 10mg daily
- Type 2 diabetes mellitus — HbA1c 6.8% (2/15/2026), on metformin
- No cardiac history, normal EKG today
PHYSICAL EXAMINATION:
Vital signs: BP 128/78, HR 72, SpO2 98% on room air
Cardiovascular: Regular rate and rhythm, no murmurs
Pulmonary: Clear to auscultation bilaterally
General: Well-appearing, ambulatory
LABORATORY STUDIES:
CBC, BMP, and coagulation panel within normal limits (3/8/2026)
RISK ASSESSMENT:
This patient is at low-to-moderate surgical risk based on ASA classification II. Chronic conditions are well-managed with no acute concerns.
PERIOPERATIVE RECOMMENDATIONS:
- Continue home medications morning of surgery with sip of water
- Blood glucose monitoring perioperatively
- Standard DVT prophylaxis appropriate
CLEARANCE STATEMENT:
This patient is medically cleared for elective right total knee arthroplasty under general or spinal anesthesia.
Please contact me with any questions or concerns.
Sincerely,
Dr. Thomas Chen, MD
Internal Medicine
NPI: 1234567890
Phone: (555) 123-4567
What to Include in a Surgical Clearance Letter
- Patient demographics and planned procedure: Include surgeon name
- Relevant medical history: Chronic conditions, medications, allergies
- Physical examination findings: Vital signs, cardiac, pulmonary exam
- Recent laboratory studies: CBC, metabolic panel, EKG if indicated
- Risk assessment: ASA classification, perioperative risk factors
- Perioperative recommendations: Medication management, special precautions
- Clear clearance statement: Explicit approval for surgery and anesthesia
- Provider contact information: For anesthesia team questions
Generate Surgical Clearance Letters with AI
DocDraft's AI creates comprehensive surgical clearance letters in seconds:
- Automatically includes all required elements
- Proper risk assessment language
- Evidence-based perioperative recommendations
- Professional formatting surgeons expect
- Ready to send immediately