Dilation Consent & Notification Form

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This form not only provides the patient with detailed information of the dilation process, reason for this process and advises of possible side effects, but also serves as documentation that the patient consents to or refuses the procedure. 
 

Category: 
Form
Quantity: 
1 Pad
PEN Member Price: 
$18
List Price: 
$20
Quantity: 
2 Pads
PEN Member Price: 
$27
List Price: 
$30
Quantity: 
4 Pads
PEN Member Price: 
$44
List Price: 
$50
Quantity: 
6 Pads
PEN Member Price: 
$53
List Price: 
$60