Xen

This is a sample form for XEN. Click on the name of the form or the download button to access it.

This form was revised on 2/21/20 to state that Xen includes gelatin derived from pigs. Some patients may have religious reasons to decline such an implant. We recommend you disclose this information to the patient.

We would like to thank Dr. Ansari and his team at Ophthalmic Consultants of Boston for developing and sharing his practice’s glaucoma forms with us. We made some content and formatting changes.

Please refer to OMIC's Copyright and Disclaimer regarding the contents on this website

Six reasons OMIC is the best choice for ophthalmologists in America.

Consistent return of premium.

Publicly-traded insurance companies exist to make profits for shareholders while physician-owned carriers often return profits to their policyholders. Don’t underestimate this benefit; it can add up to tens of thousands of dollars over the course of your career. OMIC has one of the most generous dividend programs for ophthalmologists and has returned more than $90 Million to our members through dividends.

Ophthalmic Mutual Insurance Company (OMIC)Phone: (800) 562-6642
655 Beach Street | San Francisco, CA 94109-1336Fax: (415) 771-7087
PO Box 880610 | San Francisco, CA 94188-0610Email: omic@omic.com