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UCLA LASER REFRACTIVE CENTER INFORMED CONSENT LASER ASSISTED IN SITU KERATOMILEUSIS (LAST) GENERAL INFORMATION The following information is intended to help you make an informed decision about having
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How to fill out UCLA Laser Refractive Center:

01
Gather necessary personal information: Start by collecting all the required personal details such as your full name, address, contact information, date of birth, and insurance information if applicable.
02
Complete the medical history section: Provide accurate information about your current and past medical conditions, medications, allergies, and any previous eye surgeries or treatments. It's important to be thorough and transparent to ensure optimal care during your visit.
03
Specify your reason for visiting: Indicate the specific reason for your visit to the UCLA Laser Refractive Center. Whether you are seeking LASIK surgery, PRK, or any other laser refractive procedure, clearly state your desired outcome and expectations.
04
Select an appointment date and time: Choose a suitable date and time for your appointment based on the options provided by the center. Make sure to consider any personal or professional commitments that might affect your availability.
05
Verify insurance coverage: If you have insurance coverage, provide the necessary details to determine if the UCLA Laser Refractive Center accepts your insurance plan. This step is crucial to avoid any unexpected out-of-pocket expenses.
06
Review and sign consent forms: Carefully read through all the consent forms provided by the center. These forms will outline the risks, benefits, and potential complications of the laser refractive procedure you are considering. Sign the forms only after understanding and agreeing to the terms.

Who needs UCLA Laser Refractive Center?

01
Individuals with refractive errors: People who have refractive errors such as nearsightedness, farsightedness, astigmatism, or presbyopia might benefit from the services offered by the UCLA Laser Refractive Center. These individuals often experience blurry vision and may rely on corrective lenses or glasses.
02
Individuals seeking visual freedom: Many individuals desire freedom from wearing glasses or contact lenses. UCLA Laser Refractive Center offers advanced laser vision correction procedures, such as LASIK and PRK, which can provide long-term visual improvement and decrease dependency on corrective lenses.
03
Those looking for experienced and reputable care: UCLA Laser Refractive Center is staffed with highly skilled ophthalmologists and specialists who are well-versed in the latest laser refractive technologies. Patients seeking trusted, reliable, and safe eye care often choose the center for their laser refractive needs.
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The UCLA Laser Refractive Center is a facility that specializes in laser eye surgery for vision correction.
Patients who undergo laser eye surgery at UCLA Laser Refractive Center are required to fill out the necessary forms.
Patients can fill out the UCLA Laser Refractive Center forms either online or in person at the center.
The purpose of UCLA Laser Refractive Center is to provide laser eye surgery for vision correction.
Patients' personal information, medical history, and consent for surgery must be reported on UCLA Laser Refractive Center forms.
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