The Antibiotic Selection for Surgery Form would help to gather the patients’ medical history like allergies, surgery information, regular antibiotic/medicine information that he/she use regularly and personal information like name, address, weight, height, etc. before the surgery. You can set the patient’s medicines before and after the surgery. Thus, you can take precautions of unfortunate events before surgery.
Also, you can determine the required medicine for not having a problem after the surgery. Medical history of the patient can be observed through this form. Jotform offers you this free Antibiotic Selection form for Surgery. You can modify this form the way you want. Please feel free to use this form.