I designed a GUI template to document ENT discharge instructions, and have included a screenshot. Works really well, I'm happy with it. In the past, I have found many patients for ENT exams are in a hurry or I know them pretty well, so sticking a format discharge instructions sheet in their hands every time is a annoying. On the other hand, I'm a stickler for writing down a very brief version of what I told them under plan, and title it with "Discussed With Patient". This has saved my butt many more times than once. I'm thinking of making these ENT instuctions into a prescription-blank sized tear off hand-out, so will be easier to use and less obtrusive. I used the Synapse Directive "letter" so prints one instruction per line and formats nicely Only the "HOME INSTRUCTIONS" header prints if you select "Save" The ADDITIONAL INSTRUCTIONS header is optional text.