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                                                                                                                                          Consent and Education

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                                                                                                                                          Patient Consent Forms

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                                                                                                                                          Supplemental Consent Forms

                                                                                                                                          #1.  Blepharoplasty (eyelid tuck or lift)

                                                                                                                                          #2.  Blood-thinners (anticoagulants)

                                                                                                                                          #3.  Botox® Injections

                                                                                                                                          #4.  Botox®, Limited Exam

                                                                                                                                          #5.  Chalazion (Stye) Removal

                                                                                                                                          #6.  Chemical Peel

                                                                                                                                          #7.  Dacryocystorhinostomy (DCR or tear drain bypass surgery)

                                                                                                                                          #8.  Ectropion Repair (lid turned out)

                                                                                                                                          #9.  Entropion Repair (lid turned in)

                                                                                                                                          #10.  Evisceration or Enucleation (removal of the eye)

                                                                                                                                          #11.  Lid Retraction Surgery (lids that don’t close well)

                                                                                                                                          #12.  Orbital Decompression (Removing fat and/or bone from the eye socket)

                                                                                                                                          #13.  Orbital Fracture Repair (eye socket bone repair)

                                                                                                                                          #14.  Orbital Surgery (eye socket surgery)

                                                                                                                                          #15.  Procedures to Improve Tearing

                                                                                                                                          #16.  Ptosis Surgery (droopy eyelid)

                                                                                                                                          #17.  Skin Cancer Surgery Repair

                                                                                                                                           

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