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Get Chalazion Consent Form

Fit your actual practice. Give the patient a copy and send this form to the hospital or surgery center as verification that you have obtained informed consent. CONSENT FORM FOR INCISCION AND DRAINAGE OF CHALAZION CONDITION AND PROPOSED TREATMENT Your ophthalmologist has evaluated you and diagnosed you with a chalazion, which is a localized inflammatory response involving sebaceous glands of the eyelid that occurs when the gland duct is obstructed. A chalazion may resolve spontaneously or with.

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