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Apply for Radioactive Iodine Treatment 

Fill out the form Below to Apply for Radioactive Iodine Treatment, or click here to download the form.


Veterinarian Info

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Client Info

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Patient Info

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Please provide us with medical status by sending copies of all chemistries, CBC, T4 and UA since this patient was diagnosed hyperthyroid.  Please send copies of any other pertinent medical records, i.e. ultrasound results, ECG, etc.  We will perform blood pressure, ECG, radiographs, echocardiogram, and abdominal ultrasound.   If any intercurrent disease is identified, which would preclude or compromise the therapy we will contact you as referring veterinarian to discuss the options. You will receive a summary report of our diagnostic findings along with recommendations for follow-up treatment.

Thank-you for the opportunity to participate in the treatment of this patient with this exciting therapeutic option.


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