Postpartum Visit Note Template

ACOG reframed postpartum care as an ongoing process rather than a single six week appointment, and this template follows that. It marks whether the visit is the initial contact within three weeks, an interim visit, or the comprehensive visit, and covers physical recovery, mood and well-being with a named screening instrument and score, reproductive planning and contraception, and infant feeding.

It also carries the section most postpartum notes omit: pregnancy complications and what they mean for long-term risk. A hypertensive disorder, gestational diabetes, or preterm birth changes a patient's lifetime cardiovascular and metabolic risk, and the template asks whether that was discussed and whether care was transitioned to an ongoing clinician. On billing, the page notes the tension clinicians actually live with: ACOG recommends contact within three weeks and a comprehensive visit no later than twelve weeks, while payers generally still define the postpartum period as six weeks from delivery. It also flags that uncomplicated visits and contraception counseling are bundled, while evaluation of a genuine complication is separately reportable, and that 59430 is the postpartum-care-only code. Optimized for use with Sully.ai's AI medical scribe, it helps streamline note-taking and improve clinical efficiency.