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
61
resources.
Sep 10, 2026
| Consent Form
...about other surgery options. · There are other treatments and procedures to improve the appearance of lower eyelids. For instance, you could have Botox injections, filler injections, laser treatment, or a chemical peel. Talk with your ophthalmologist about these and other choices. As with all surgery, there are risks (problems...
Sep 14, 2026
| Consent Form
...DSAEK, or Phototherapeutic Keratectomy (PTK) performed with the excimer laser. COMPLICATIONS AND SIDE EFFECTS There is no guarantee that the surgery will improve your condition. It may fail to improve your vision or even make it worse. In addition, surgery is risky. Sometimes it can make the original problem worse,...
Sep 15, 2026
| Consent Form
...Restylane® injections, including no treatment, collagen for lip or other facial soft tissue augmentation, and cosmetics, Botox, laser skin resurfacing, chemical peels, or plastic surgery for wrinkle reduction. Results. I understand that the actual degree of improvement cannot be predicted or guaranteed. Furthermore, I understand that the effect will gradually...
Sep 14, 2026
| Consent Form
...nueva afección o problema por primera vez durante la cirugía. Es posible que el cirujano deba cambiar el plan quirúrgico para tratar este problema o afección de inmediato. La oclusión permanente del punto lagrimal implica el uso de cauterización térmica (calor) o rayos láser para cerrar la abertura del conducto...
Sep 11, 2026
| Consent Form
...y complicaciones que pueden ocurrir. Los principales riesgos y complicaciones de la cirugía con iStent son: · Falta de control de la presión intraocular, con necesidad de gotas para los ojos, tratamiento con láser u otra cirugía · Acumulación anormal de líquido en el ojo, con necesidad de otra cirugía...
Sep 14, 2026
| Consent Form
...recomienda tratamiento con rayos láser. · Si los medicamentos y el tratamiento con láser no funcionan lo suficientemente bien, o si los pacientes tienen problemas para utilizar gotas para los ojos debido al costo, los efectos secundarios y otras dificultades, entonces se requiere cirugía de glaucoma. Existen muchos tipos de...
Mar 19, 2023
| Consent Form
...use these medications “off-label” because they may be similar or even have a better effect compared to an FDA-approved medication. Your ophthalmologist will let you know if other medications, or a similar medication with a different method of delivery, are available for your condition; whether laser or other types of...
Apr 9, 2026
| Consent Form
...an additional IOL, or refractive laser surgery may be needed if you are not satisfied with your vision after cataract surgery. [State any minor problems that could occur following the procedure.] Risks What are the main risks of IOL Exchange Surgery? There is no guarantee that the IOL Exchange surgery...
Apr 22, 2026
| Consent Form
...treat diabetic macular edema. Talk with your eye surgeon about the risks and benefits of these medications. · Laser surgery to treat leaking blood vessels in the eye that might be causing the swelling. Risks (problems this medication may cause). There are risks with the medication, the injection, and the...
Sep 14, 2026
| Consent Form
...with total corneal thickness 250 um · Scrape off the epithelium · Perform mild excimer laser phototherapeutic keratectomy to smooth the corneal bed · Apply MMC 0.02% formulation (same as the 0.2mg/mL solution) · Application protocol · Cut out 6 mm disc of filter paper with a trephine · Moisten...
Sep 11, 2026
| Consent Form
...utiliza un láser para crear una cavidad sobre la pupila en la parte transparente del ojo llamada córnea. Luego, el cirujano ocular coloca el implante en esta cavidad. [O el cirujano ocular podría utilizar una cuchilla para hacer un colgajo. Luego, el cirujano ocular coloca el implante debajo del colgajo]....
These are sample forms—download, review and revise as needed.