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Rev.8/19/11 FORM 3B MANFRED BLUM, M.D. F.A.C.P. NYU School of Medicine 530 First Avenue New York, N.Y. 10016 OFFICE:Phone (212) 2637444 Fax (212) 2630401 LAB: Phone (212) 2637410 Fax: (212) 2637519
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Stimulated radioactive iodine i-131 is a radioactive form of iodine used in medical treatments.
Medical facilities and healthcare providers who administer treatments involving stimulated radioactive iodine i-131 are required to file the necessary documentation.
Stimulated radioactive iodine i-131 forms can be filled out online or submitted through the mail with all required information included.
The purpose of stimulated radioactive iodine i-131 is to treat certain medical conditions, such as thyroid cancer or hyperthyroidism.
Information such as patient name, date of treatment, dosage administered, and treating physician must be reported on the stimulated radioactive iodine i-131 form.
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