Risk Management

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



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

Leave a comment

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

Leader in the industry.

A-rated by AM Best, OMIC is consistently ranked among the top malpractice insurance companies in America for financial stability. No other carrier has matched OMIC's consistent financial performance with regard to both combined, operating, and surplus ratios, the most relevant financial measurements for an insurance carrier.