Informed Consent - Re-Use of Patient-Owned Frame Form

Releases your practice from responsibility of any damage due to the condition of a used- frame. This form not only informs the patient of the possible consequences of replacing the lenses in their used frame, but also provides signed documentation that they are aware of those consequences.

Publications Title
Informed Consent - Re-Use of Patient-Owned Frame Form
Quantity ABB OneBill Price List Price
1 Pad 24.00 26.40
2 Pads 36.00 39.60
4 Pads 60.00 67.20
6 Pads 72.00 80.40