Dry Eye Treatment with RF

» I understand Forma/Plus/I is recommended as a course of treatments for best results and understand that a single treatment may not achieve the results I desire long term. I certify that I have been fully informed of the nature and purpose of the procedure, expected outcomes and possible complications.
» I am fully aware that my condition is of cosmetic concern and that the decision to proceed is based solely on my expressed desire to do so. I confirm that I have informed the staff regarding any current or past medical condition, disease or medication taken.
» I consent to the taking of photographs and authorise their anonymous use for the purposes of medical audit, education and promotion.
» I certify that I have been given the opportunity to ask questions and that I have read and fully understand the contents of this consent form