Risk Management


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

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OMIC's sole mission is to serve ophthalmology. The premier source of ophthalmic claims data and loss prevention materials, OMIC's member hotline is the most used ophthalmic consultative service of its kind and OMIC.com is the most visited web site in America for ophthalmic risk management advice and patient consent documents.