Get Informed Consent For Removal Or Biopsy Of Orbital Mass

Filling out the informed consent form for the removal or biopsy of an orbital mass is an important step in your surgical planning. This guide provides detailed, step-by-step instructions to help you complete the form accurately and confidently.

Follow the steps to effectively fill out the form online.

1. Locate and access the form by clicking the ‘Get Form’ button to open the document in your browser.
2. Begin by entering your full name, date of birth, and patient ID number in the designated fields to ensure your identity is verified.
3. Indicate the surgical procedure by selecting the appropriate option for the eye involved: Right Eye, Left Eye, or Both Eyes, by marking the corresponding box.
4. Read the section titled 'What is the orbit?' for a brief overview of the area surrounding the eyeball and its components, as this will help you understand the procedure better.
5. Review the reasons outlined for the necessity of orbital surgery, which includes potential conditions such as tumors or infections, to make an informed decision.
6. In the 'What is done during surgery?' section, familiarize yourself with the surgical techniques described, which may include specific incision placements. This knowledge is crucial for understanding the procedure you are consenting to.
7. Understand the potential alternatives to surgery mentioned, including the option to live with your condition. This is important for weighing your choices.
8. In the 'What you should expect after surgery' section, initial each statement to confirm your understanding of post-surgical symptoms and effects. This includes aspects like itching, swelling, and potential scarring.
9. Next, review and initial the list of potential risks associated with the surgery. This is critical for acknowledging possible complications, including bleeding and infection.
10. Read about the most serious risks that are rare but possible, like the loss of vision, and initial accordingly to confirm your understanding.
11. Confirm that you have received a copy of the consent, understand the provided information, and had your questions answered by marking the appropriate checkboxes.
12. Finally, provide your signature along with the date to formalize your consent, followed by the witness signature and time, as well as the surgeon's signature if required.

Complete your informed consent form online today to ensure a smooth surgical process.