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Consent Forms

Welcome to OMIC’s Consent Form library, a collection of procedure-specific consent forms that you can modify to suit your practice and patient population. Contact riskmanagement@omic.com with questions.
Found 3 resources.
Apr 16, 2012 | Consent Form
...Keep the original in the patient’s medical record. Version 10/10/2014 ) [bookmark: _GoBack]Informed Consent for Refractive Lens Exchange (RLE) For the Correction of Hyperopia (Farsightedness) Or Myopia (Nearsightedness) INTRODUCTION This surgery, called a refractive lens exchange or RLE, involves the removal of the clear lens of your eye, even though...
Oct 9, 2014 | Consent Form
...Lens Exchange (RLE) is an intraocular procedure in which the natural lens is removed and replaced with a synthetic lens of a more accurate power. Patients age 40 or over may request an “accommodating” lens that also helps improve near vision for reading. Because of the increased risk of retinal...
May 7, 2014 | Consent Form
...lead to loss of vision or even blindness in both eyes. In addition, the planned visual outcome may not be as precise since my doctor won’t have the advantage of knowing the results from the first eye RLE surgery, and altering the surgical approach or IOL power accordingly. If the...

These are sample forms—download, review and revise as needed.