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Home » Contact Us » Patient Forms » Private: Plainsboro Patient Forms » Optos Consent Form – Plainsboro

Optos Consent Form – Plainsboro

  • During a comprehensive eye exam our doctors need to evaluate the overall health of your eye. With the optomap® Retinal Exam, they can screen for retinal complications including macular degeneration, glaucoma, and retinal holes or detachments.

    This screening procedure can also detect problems unrelated to the eye that may show signs in the retina such as diabetes, hypertension, cancer/tumors, auto-immune disorders, and others, earlier than possible with traditional methods.

    For more information about the importance of Optomap, please Click here

    The optomap® Retinal Exam:

    ✔ Is as fast as taking a picture. It also will reduce time and contact in the exam room.

    ✔ DOES NOT REQUIRE DILATING DROPS. You may not need to be dilated today, avoiding side effects such as

    blurry vision and light sensitivity.

    ✔ Saved in your file enabling our doctors to make important comparisons during your annual eye exam.

    There is a $35.00 fee for the optomap® Retinal Exam.

  • Date Format: MM slash DD slash YYYY

0001

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