 |
| Risk Disclosure Documentation for Informed Consent |
| Post Office Box 35194 |
| Albuquerque NM 87176 5194 |
| FAX and Phone |
| National: (800) 955-2569 |
| Albuquerque: (505) 255-2569 |
| In-Forms Risk-Disclosure Forms
Available in Spanish
|
| Form Number | Procedure Form Description |
| =========== | =========================== |
| S1045 | - - | Anterior Cervical Fusion |
| S1048 | - - | Craniotomy |
| S1052 | - - | Lumbar Laminectomy |
| S1055 | - - | Peripheral Nerve Surgery |
| S1060 | - - | Cataract Extraction |
| S1066 | - - | Photocoagulation |
| S1071 | - - | Abdominal Hysterectomy |
| S1073 | - - | Cesarean Section |
| S1074 | - - | D&C, Possible Biopsy |
| S1075 | - - | D&C or Suction for Abortion |
| S1079 | - - | Vaginal Hysterectomy |
| S1099 | - - | General Consent Form |
| S1101 | - - | Insertion of IUD |
| S1106 | - - | Blepharoplasty |
| S1108 | - - | Ventriculo-Atrial Shunt |
| S1116 | - - | Use of Oral Contraceptives |
| S1119 | - - | Amniocentesis |
| S1151 | - - | Cerebrospinal Fluid Shunt |
| S1152 | - - | Colposcopy |
| S1251 | - - | Release of Carpal Tunnel |
| S1404 | - - | Laser Laparoscopy |
| S1473 | - - | Childbirth by Vaginal Delivery |
| S1474 | - - | Cryosurgery |
| S1507 | - - | Laser Surgery for Glaucoma |
| S1508 | - - | Laser Capsulotomy |