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  • Lensx Consent Form

Get Lensx Consent Form

I freely consent to undergo the LenSx procedure. By signing this consent form I have not waived any of my legal rights. CONSENT I we voluntarily request Dr. as my physician and such associates technical assistants and other health care providers as they may deem necessary to treat my condition with the above described LenSx Laser System which has been explained. I we understand that the following surgical medical and/or diagnostic procedures are .

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I wish to have a cataract operation with a toric monofocal IOL on my _______________ (state “right” or “left” eye) and wear glasses for _____________________ (state “near” or “distance”) vision. I wish to have this procedure done in addition to the cataract operation.

It is held in place by tiny, hair-like cables called zonules. The zonules run around the entire circumference of the lens, connecting it to muscles in the eye wall.

What is LENSAR Femtosecond Laser Technology? The LENSAR Laser System femtosecond laser was made specifically for cataract surgery. Every feature of this refractive laser has been purposefully designed to enhance cataract removal procedures.

Yes. Both Original Medicare and Medicare Advantage cover cataract surgery that removes a cataract and replaces it with a conventional intraocular lens.

Due to the accuracy and less invasive nature, LenSx surgery typically requires only half the ultrasonic energy of traditional cataract energy. As the procedure is efficient, it typically takes no more than 10 minutes to complete. Complicated cases may take more time, sometimes up to 30 minutes.

LenSx precisely maps the eye using high-resolution images to provide detailed measurements and other data used to perform the surgery. A computer-guided laser makes a tiny incision in the eye, through which the surgeon inserts a small probe. That probe emits ultrasonic energy to break up the damaged lens.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232