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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 5 resources.
Apr 16, 2012 | Consent Form
...muscle tone with repeated injection 7. Flu-like syndrome or respiratory infection 8. Nausea or headache 9. Development of antibodies to Botox 10. Botox contains human-derived albumin and carries a theoretic risk of virus transmission. There have been no reports of disease transmission through Botox. [bookmark: _GoBack]If the complication happens during...
Nov 23, 2016 | Consent Form
...other surgery options. · There are other treatments and procedures to improve the appearance of lower eyelids. For instance, you could have Botox injections, filler injections, laser treatment, or a chemical peel. Talk with your ophthalmologist about these and other choices. As with all surgery, there are risks (problems that...
Feb 13, 2020 | Consent Form
...to improve the appearance of lower eyelids. For instance, you could have Botox injections, filler injections, laser treatment, or a chemical peel. Talk with your ophthalmologist about these and other choices. As with all surgery, there are risks (problems that can happen) with blepharoplasty. Here are some of the most...
Oct 6, 2014 | Consent Form
...Hylaform, Cosmoderm and Perlane. Aside from these treatments, additional options for the correction of lines and wrinkles do exist, including facial creams, BOTOX® Cosmetic (Botulinum Toxin Type A), chemical peels, and laser skin surface treatments, and surgery. Other options not mentioned here may exist. All options should be discussed with...
Oct 6, 2014 | Consent Form
...injections, including no treatment, collagen for lip or other facial soft tissue augmentation, and cosmetics, Botox, laser skin resurfacing, chemical peels, or plastic surgery for wrinkle reduction. Results. I understand that the actual degree of improvement cannot be predicted or guaranteed. Furthermore, I understand that the effect will gradually wear...

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