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Wellness Retinal Imaging Consent Form!!HEALTHY DISEASED Eyes part of your eye exam Dr. Fraser recommends a special diagnostic procedure called Wellness Retinal Imaging. This procedure consists of

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How to fill out wellness retinal imaging consent

01

Obtain the wellness retinal imaging consent form.

02

Read the form thoroughly to understand the purpose and implications of the screening.

03

Fill out your personal information, including your name, date of birth, and contact information.

04

Sign and date the consent form to indicate your agreement to undergo the retinal imaging screening.

05

Make a copy of the completed form for your records.

Who needs wellness retinal imaging consent?

01

Individuals who are undergoing wellness retinal imaging screening at a healthcare facility or eye care clinic.

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What is wellness retinal imaging consent?

Wellness retinal imaging consent is a form that allows individuals to give permission for their retinal images to be taken for health monitoring purposes.

Who is required to file wellness retinal imaging consent?

Any individual who wishes to undergo retinal imaging for wellness purposes is required to file wellness retinal imaging consent.

How to fill out wellness retinal imaging consent?

Wellness retinal imaging consent can be filled out by providing personal information, signing the form, and indicating consent for the retinal imaging procedure.

What is the purpose of wellness retinal imaging consent?

The purpose of wellness retinal imaging consent is to ensure that individuals are aware of and agree to the risks and benefits associated with retinal imaging for wellness purposes.

What information must be reported on wellness retinal imaging consent?

Wellness retinal imaging consent typically requires information such as the individual's name, contact information, medical history, and signature indicating consent.

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