Autoimmune Surgery Waiver
, understand that, due to my autoimmune disorder,
there is an increased risk in performing the iLASIK surgery. However, the FDA has completed testing which
conclusively finds that iLASIK can be performed effectively and safely in selected patients with stable and
controlled systemic diseases.
I understand the above statement and willingly proceed with iLASIK.
Medical Center Eye Clinic
655 Medical Center Drive NE
Salem, OR. 97301