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

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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.

 

 

Category: 
Form
Quantity: 
1 Pad
PEN Member Price: 
$20
List Price: 
$22
Quantity: 
2 Pads
PEN Member Price: 
$30
List Price: 
$33
Quantity: 
4 Pads
PEN Member Price: 
$50
List Price: 
$56
Quantity: 
6 Pads
PEN Member Price: 
$60
List Price: 
$67