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Optomap Consent

We pride ourselves on providing our patients with the best possible standard of care. Because of this we recommend the Optomap Retinal Exam with all of our patients. When reviewed the scan becomes a permanent part of your medical file, enabling the doctor to make important comparisons should potential vision threatening conditions show themselves at a future examination. We are concerned about uncovering and documenting problems such as macular degeneration, glaucoma, retinal holes or detachments and diabetic retinopathy (all of which can lead to partial loss of vision or blindness). Systemic diseases such as diabetes and high blood pressure can also be discovered during a retinal exam. Just as your dentist regularly takes pictures of your teeth, or mammograms are used for early detection, your eyes deserve the same quality care. The Doctors strongly believe that the Optomap Retinal Exam is an essential part of your comprehensive eye exam and prescribes it for all patients once per year.
This service may be covered if being used to actively follow disease. If you choose to have an Optomap, the doctor may not need to dilate your eyes.
PLEASE NOTE: THERE IS AN ADDITIONAL CHARGE OF $36 FOR THE OPTOMAP RETINAL EXAM WHICH IS NOT COVERED BY INSURANCE.(Required)
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