Operation of upper or lower lids -Informed consent for
               surgical procedure      
                       


Operation
of upper or lower lids are carried out in local anesthesia. The operation takes about one hour. After the operation patients go home. Recovery time is about 7 to 10 days.


Informed consent for surgical procedure

I agree that I will freely and knowingly undergo a surgical procedure at Dr. Michael Entner surgical practice. I do confirm that I have received the necessary information of the type of procedure and the informed consent for the surgical procedure. I fully understand all information provided and agree
with it and attach my signature freely and voluntarily. The procedure will be performed with due care and
caution, using all the capabilities and experience of the doctor and his medical staff. In spite of this , complications may occur. In case of unforeseen complications, I authorize the doctor to undertake the necessary course of action. I also agree to undergo
medical examinations during standard post-operative checkups, which will take place at recommended regular intervals. I accept and agree that the
doctor and his team of medical persons do not bear responsibility for any complications of a general or individual nature which could occur.
I agree/ do not agree to the use of my photographs for publication or for educational purposes.                                                                                                                                                                               With my signature, I also confirm that I have not withheld from the doctor or medical team any essential information which may result in possible complications. These are: disease of chronic nature, condition following an operation, injuries, intake of drugs or alcohol etc..
I am aware of the possible
consequences should an instruction be breached or not adhered to before, during
and after procedure as the doctor has informed, explained and submitted me before the operation.

Type of operation........................................................................................................................................................

Client´s  Name and Surname.......................................................................................................................................................

Signature of the client................................. ......................................................Signature of the doctor......................................

date...................................................