Removal of Eyelid Mass while Awake

  • Assumption of Risks

    I am the owner or agent for the owner of the above animal and have the authority to execute this consent. I hereby consent and authorize the performance of the following procedure:
  • Risks of the above procedure(s) include (but are not limited to) the following: sedation complications including death, infection, regrowth of eyelid mass, corneal ulceration, change in appearance of eyelid.