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John Kiely M. D. Chartered 6243 Executive Boulevard Rockville Maryland 20852 301-468-2335 1012 Dulaney Valley Road Towson Maryland 21204 410-821-1970 Hair Transplant Consent Form Alternatives to Hair Transplant Surgery Do Nothing Hair Piece Shaving of the Head Topical Minoxidil or Oral Medication Propecia - Flaps or Scalp Reduction or Laser Comb Short Term Risks Long Term Risks Post-operative Bleeding Subcutaneous A-V Fistula Numbness in Transplanted Area Scarring Psychological or Social...
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How to fill out MD John Kiely Hair Transplant Consent Form

01
Obtain the MD John Kiely Hair Transplant Consent Form.
02
Read through the entire form carefully, paying attention to all details.
03
Fill out your personal information at the top of the form, including your name, contact information, and date of birth.
04
Review the sections on the hair transplant procedure and potential risks, ensuring you understand what is involved.
05
Sign and date the form in the designated area to indicate your consent.
06
If applicable, have a witness sign the form as well.
07
Submit the completed form to the clinic as instructed by the healthcare provider.

Who needs MD John Kiely Hair Transplant Consent Form?

01
Individuals considering a hair transplant at MD John Kiely's clinic must fill out this consent form.
02
Patients who have been assessed for a hair transplant procedure and have had their questions addressed.
03
Anyone required to formally agree to the treatment terms and conditions before undergoing the procedure.
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The MD John Kiely Hair Transplant Consent Form is a legal document that patients must sign prior to undergoing a hair transplant procedure. It ensures that patients are informed about the procedure, its potential risks, and the expected outcomes.
All patients planning to undergo a hair transplant procedure with MD John Kiely are required to fill out and file the consent form.
To fill out the MD John Kiely Hair Transplant Consent Form, patients should read the document carefully, complete any required personal and medical information, and sign the form to acknowledge understanding of the procedure and its risks.
The purpose of the MD John Kiely Hair Transplant Consent Form is to obtain informed consent from the patient, ensuring they understand and accept the risks and benefits associated with the hair transplant procedure.
The MD John Kiely Hair Transplant Consent Form must report personal information of the patient, medical history, details of the hair transplant procedure, potential risks, and any alternative treatments available.
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