Clinic Name
Clinic Address
Clinic Phone Number
Clinic Email
SUPPLIES (Under General):
- 1 Bed Cover
- 1 Gloves (8)
- 1 Gloves Scrub
- 2 Absorbent Towels
- 1 4x4 Gauze
- 1 Lap Sponge
- 1 BSS
- 1 Blue Pad
- 2 Donuts
- 1 Syringe 10cc (0.25% Marcaine w/Epi)
- 1 30g Needle
SUPPLIES (Local Case):
- 1 Stretcher Sheet
- 1 Gloves (8)
- 1 Gloves Scrub
- 1 Absorbent Towels
- 1 4x4 Gauze
PREP/MAYO (Under General):
- Small Bowl
- 4x4 Gauze
- Gloves(8)
- Metal Eye Shields
- Squeegee
- Large Bowl
- BSS
- 0.25% Marcaine w/Epi
PREP (Local Case):
- Small Bowl
- 4x4 Gauze
- Gloves(8)
EQUIPMENT:
- Laser
- Smoke Evacuator
- Eye Goggles (For Local Only)
- DEEP Handpiece: Black Box (deep always 1st)
- ACTIVE Handpiece: Silver Box