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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 4 resources.
Nov 21, 2014 | Consent Form
...have obtained informed consent. · Keep the original in the patient’s medical record. Version 11/21/2014 [Your Letterhead] [bookmark: _GoBack]Superficial Keratectomy or Corneal Excision Consent You have anterior basement membrane dystrophy, and your doctor, [Name, MD/DO], is recommending Superficial Keratectomy or Corneal Excision. What is anterior basement membrane dystrophy? · Anterior...
Oct 3, 2014 | Consent Form
...procedures to treat conjunctivochalasis, all of which involve excising the excess tissue, tightening the loose tissue, or replacing the abnormal conjunctival tissue. Conjunctival cautery can be used to create superficial scarring and tightening of the tissue. The abnormal tissue may be excised and new tissue allowed to grow back over...
Oct 6, 2014 | Consent Form
...turn darker during treatment and will remain visible until the superficial crust, which forms only over the treated spots, falls off naturally 7 to 14 days after the treatment. After the crust falls off the treated areas may look slightly pink for a short time. Gradually a normal skin color...
Oct 9, 2014 | Consent Form
...surgery, I have been advised by Dr. and understand the items listed below: 1. The surgical removal of the superficial layers of my cornea using the excimer laser has been elected by me as an alternative to other forms of corneal surgery. 2. As with all surgery, I understand the...

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