Just as there may be benefits to the procedure(s) proposed, I also understand that medical and surgical procedures involve some risks. T
I am aware that in the practice of medicine, other unexpected risks or complications not discussed may occur. I also understand that during the course of the proposed procedure(s) unforeseen conditions may be revealed.
I understand what has been discussed with me as well as the contents of this consent form, and have been given the opportunity to ask questions and have received satisfactory answers.
I understand the test which will be performed and have been made aware of the risks involved. I understand the signing of this form is voluntary and I am free to deny consent if I desire. Without consent, I understand that the test will not be performed.
Common side effects may include, headache, dizziness; flushing (warmth, redness, or tingly feeling); nausea; chest pain; pain in your side or lower back; or.pain, swelling, or irritation where the injection was given.
Extensive studies of these agents have demonstrated a significant safety profile with no evidence of toxicity to the kidneys, heart or liver.