Get the free CESIUM-131 SEED ORDER FORM - IsoRay

Customer Service 350 Hills St, Suite 106 Richland, WA 99354-5411 P: 509-375-5329 F: 509-267-3670 customer service isoray.com www.isoray.com CESIUM-131 SEED ORDER FORM SHIP TO INFORMATION Physician:

How to fill out cesium-131 seed order form

How to fill out cesium-131 seed order form:

1. Start by providing your personal information, including your name, contact information, and mailing address.
2. Specify the required quantity of cesium-131 seeds you wish to order.
3. Indicate the desired delivery date and any special delivery instructions, if applicable.
4. Complete the billing section, including the billing address and preferred payment method.
5. Ensure that all the necessary fields are completed accurately and legibly.
6. Review the order form to verify all the information provided before submitting it.
7. Send the completed order form through the designated method, whether it is by mail, email, or online submission.

Who needs Cesim-131 seed order form:

1. Medical professionals specializing in brachytherapy may require cesium-131 seeds for the treatment of certain cancers.
2. Patients or their representatives who are seeking cesium-131 seed for their prescribed cancer treatment.
3. Institutions or organizations involved in cancer research or clinical trials that involve the use of cesium-131 seeds.
4. Manufacturers or suppliers of cesium-131 seeds who need the order form to process and fulfill customer requests.

For pdfFiller’s FAQs

What is cesium-131 seed order form?

The cesium-131 seed order form is a document used to request the purchase and delivery of cesium-131 seeds, which are radioactive sources commonly used in brachytherapy procedures for treating cancer.

Who is required to file cesium-131 seed order form?

Medical professionals, particularly radiation oncologists or their authorized representatives, are usually required to file the cesium-131 seed order form when they need to acquire cesium-131 seeds for their patients.

How to fill out cesium-131 seed order form?

To fill out the cesium-131 seed order form, you will generally need to provide information such as the name of the requesting medical facility, the patient's name and medical record number, the required quantity of cesium-131 seeds, and the intended use or treatment plan.

What is the purpose of cesium-131 seed order form?

The purpose of the cesium-131 seed order form is to facilitate the procurement and proper tracking of cesium-131 seeds, ensuring their safe and regulated use in medical procedures.

What information must be reported on cesium-131 seed order form?

The cesium-131 seed order form typically requires reporting of information such as the medical facility's name and contact details, patient information, including name and medical record number, the quantity of cesium-131 seeds requested, and the intended use or treatment plan.

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