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Documentation templates

Copy-paste scaffolds for your EMR notes — procedures, ward rounds, risk scores and discharge summaries. Click a template to preview it, or hit copy and go.

Use as a study guide only. These notes are part of a free open-access medical education (FOAMed) project and may contain errors or outdated information. Always verify against current guidelines (e.g. eTG, RACGP, local health district policies) and reputable sources before applying anything to patient care. See the full disclaimer.

These are scaffolds, not gospel — every template describes a normal or example finding, so edit each line to reflect what you actually assessed, and follow your hospital’s documentation policies. Never copy anything you didn’t do.

Procedures

Procedure notes — sedation, sutures, LPs and catheters.

Paediatrics

Baby checks and neonatal birth attendance notes.

Exam & Ward Rounds

Assessment notes, trauma surveys, neuro exams and more.

Risk Scores

Common scores ready to fill in and drop into your note.

Discharge

Discharge summary skeleton and condition-specific follow-up advice.

Looking for the one-page PDFs instead? Head back to cheat sheets.