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Kenalog consent form

This sample consent form for Kenalog addresses the off-label status of intravitreal injection of this drug.

RECOMMENDATIONS: Kenalog and Triesence intravitreal injections.

PREVENT WRONG EVENTS: Time out before Intravitreal Injections

 

 

____________________________________________                    ___________________

Patient’s Signature                                                                                                   Date

 

 

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

Best at defending claims.

An ophthalmologist pays nearly half a million dollars in premiums over the course of a career. Premium paid is directly related to a carrier’s claims experience. OMIC has a higher win rate taking tough cases to trial, full consent to settle (no hammer) clause, and access to the best experts. OMIC pays 25% less per claim than other carriers. As a result, OMIC has consistently maintained lower base rates than multispecialty carriers in the U.S.

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