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
2
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Oct 6, 2014
| Consent Form
...that you have obtained informed consent. · Keep the original in the patient’s medical record. Version 10/06/2014 INFORMED CONSENT FOR PTERYGIUM EXCISION WHAT IS A PTERYGIUM? Pterygium (pronounced tur-IJ-ee-um) is a growth on the cornea (the clear front window of the eye) and the conjunctiva – the thin, filmy membrane...
Oct 9, 2014
| Consent Form
...to 5 % · If recurs · repeat excision · place sponge soaked with 0.02% on sclera in area of pterygium for 30 to 60 seconds, rinse off · apply amniotic membrane and perform graft · if very bad pterygium, rinse eye, replace sponge another 30 seconds · warning: do...
These are sample forms—download, review and revise as needed.