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TEXAS OPHTHALMIC PLASTIC, RECONSTRUCTIVE & ORBITAL SURGERY ASSOCIATES GRANT GILLILAND, M.D. P.A.IVAN GREEK, M.D. P.A.JOHN HARRINGTON, M.D. P.A. INFORMED CONSENT FOR OPTIC NERVE SHEATH FENESTRATION
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How to fill out optic nerve fenestration consent

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How to fill out optic nerve fenestration consent

01
Begin by explaining the procedure of optic nerve fenestration and its associated risks, benefits, and alternatives to the patient.
02
Provide the patient with a consent form specifically for optic nerve fenestration.
03
Explain each section of the consent form to the patient, ensuring they understand the content and implications.
04
Allow the patient to ask questions or seek clarification about any aspect of the consent form.
05
Ensure the patient has had enough time to consider the information provided and make an informed decision.
06
Once the patient is ready, ask them to sign and date the consent form.
07
Make a note of the date and time the consent was obtained in the patient's medical records.
08
Offer the patient a copy of the signed consent form for their records.

Who needs optic nerve fenestration consent?

01
Optic nerve fenestration consent is required for patients who have been recommended or have chosen to undergo optic nerve fenestration surgery.
02
This usually includes patients with conditions such as idiopathic intracranial hypertension, or those experiencing optic nerve-related issues that may benefit from the procedure.

What is Optic Nerve Fenestration Consent - Texas Ophthalmic Plastic Surgery Form?

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Optic nerve fenestration consent is a formal agreement signed by a patient that grants permission for a surgical procedure to create a window in the sheath surrounding the optic nerve, which is typically performed to alleviate increased intracranial pressure.
Patients who are undergoing optic nerve fenestration surgery are required to file the consent form, as it is a necessary legal document confirming their understanding of the procedure and its risks.
To fill out the optic nerve fenestration consent, the patient must provide their personal information, review the risks and benefits of the procedure, ask any questions they may have, and sign the form to indicate their understanding and agreement.
The purpose of optic nerve fenestration consent is to ensure that the patient is fully informed about the procedure, its risks, benefits, and alternatives, and to obtain legal authorization for the surgery.
The information that must be reported on optic nerve fenestration consent includes the patient's name, date of the procedure, details of the procedure, potential risks and complications, and spaces for the patient's signature and date.
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