Abstract
Cosmetic surgeons frequently spend considerable time dictating and formulating a surgical plan. Unfortunately, time constraints can limit the amount of information transferred to the actual medical record. This can have medical and medicolegal implications. Accurate documentation may also aid in cases of medical insurability. This article helps facilitate transcription or notation in ophthalmic plastic surgery in a complete, concise, and useful manner. The individual elements of the evaluation document are explained and its use with respect to each item.
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