Laser Consent Form

It is important that you read this information carefully and completely.

Laser consent form.

Fraxel treatment consent initial that you have read and understand this page. Laser assisted cataract surgery is an addendum to our main cataract consent form ask patients to sign this form if you use the femtosecond laser for some of the steps of cataract surgery or if you use it to perform a relaxing or arcuate incision to treat astigmatism. This has been recommended to. I have read and understand this consent form i agree to its terms and authorize treatment.

Guardian name if applicable. This is an informed consent document which has been prepared to help inform you about laser treatment procedures of skin risks and alternative treatments. I do hereby waive release absolve. Fraxel dual is a non ablative fractionated laser.

Complete eye protection is available for all. Yag laser capsulotomy consent form patient name. Eye damage if baby or parent looks directly into the laser beam. The nature of the fraxel restore dual procedure has been explained to me.

Gene greenlees md or wendy greenlees rn np has explained the nature and purpose of the laser treatment including any risks and possible complications and has discussed the contents of this form with me. It will also provide legally protective signatures needed for the establishment providing the procedure. Click here to download patient forms for laser hair removal consent. This form is designed to give you the information you need to make an informed choice of whether or not to undergo nd yag laser treatment.

Download the laser hair removal consent form that is designed to assist a laser hair removal procedure it will address how the procedure works and explains possible risks and side effects. Do not sign this form without reading and understanding its contents. I understand the risks of the procedure including the risks that are specific to my child and the likely outcomes. Acknowledgement of consent for laser treatment this authorization and informed consent is given of my own free will after the doctor has explained to me the foreseeable dental and medical risks involved and discussed below.

I understand the procedure is to be performed at the polyclinic. I understand the purpose of this treatment is to treat and possibly correct my diseased tooth and or tissues in my mouth. Parent consent i acknowledge that the doctor has explained my child s condition and the proposed procedure.