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
6
resources.
Nov 5, 2015
| Consent Form
...about Eylea. Here is more information about the warning. New tests on animals show that intravenous Eylea (given directly into the vein) may not be safe for the fetus. Eylea was recently tested on pregnant rabbits. The rabbits were given very high doses of Eylea every three days. The Eylea...
Oct 25, 2023
| Consent Form
...you have obtained informed consent. · Keep the original in the patient’s medical record. Version 10/25/23 [Your Letterhead] Informed Consent for Intravitreal Injection of Eylea®HD 8mg (aflibercept) How Eylea®HD 8mg treats your condition Because you have [Condition], your ophthalmologist, [Name], [M.D./D.O.], is recommending Eylea®HD 8mg, an anti-VEGF medication. Ophthalmologists use...
Mar 13, 2020
| Consent Form
...intravitreal injection published by a panel of experts. It also addresses the FDA warning about Avastin in more detail. Here is a link to the risk management recommendations www.omic.com/anti-VEGF-drugs-in-adults/. Informed consent for Eylea™ (aflibercept) Ophthalmologists (ophthalmologists) treat some types of eye problems with a medication called Eylea. Eylea can help...
Mar 9, 2023
| Consent Form
...an alternative to laser surgery, ophthalmologists can inject anti-VEGF medication into the baby’s eye to treat ROP. This is called an intravitreal injection. There are many anti-VEGF medications but the ones which are used to treat ROP include Avastin (bevacizumab), Eylea (aflibercept), and Lucentis (ranibizumab). The ophthalmologist will talk to...
Nov 5, 2015
| Consent Form
...show that drugs like Lucentis given directly into the vein may not be safe for the fetus. Two drugs called Avastin and Eylea were recently tested on pregnant rabbits. The rabbits were given very high doses of these drugs every three days. The drugs were injected directly into the vein...
Mar 13, 2020
| Consent Form
...animals show that drugs like Lucentis given directly into the vein may not be safe for the fetus. Two drugs called Avastin and Eylea were recently tested on pregnant rabbits. The rabbits were given very high doses of these drugs every three days. The drugs were injected directly into the...
These are sample forms—download, review and revise as needed.