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APPENDIX BARTON 0213SAMPLE CONSENT FOR RESEARCH STUDY PHASE I/II TRIAL OF A COX2 INHIBITOR, (), WITH LIMITED FIELD RADIATION FOR INTERMEDIATE PROGNOSIS PATIENTS WITH LOCALLY ADVANCED SMALL CELL LUNG
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To fill out a radiation therapy form, follow these steps:
02
Start by providing your personal information, including your name, date of birth, and contact details.
03
Describe your medical history, including any previous treatments, surgeries, or diagnoses that may be relevant.
04
Specify the type of radiation therapy you have received or will receive, such as external beam radiation or brachytherapy.
05
Indicate the body part or area that is being treated with radiation.
06
Include any additional information requested on the form, such as your healthcare provider's name, insurance information, or signatures.
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Review the completed form for accuracy and make sure all required fields are filled out.
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Submit the form to the appropriate healthcare facility or provider.
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Keep a copy of the completed form for your records.

Who needs and radiation formrapy in?

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Radiation therapy is typically prescribed to individuals who have been diagnosed with certain types of cancer.
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This treatment modality may be recommended for various purposes, including:
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- Curative intent: Radiation therapy aims to completely eradicate cancer cells and achieve a cure.
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- Palliative care: Radiation therapy can help relieve symptoms and improve quality of life in advanced stages of cancer.
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- Adjuvant therapy: Radiation therapy is used in conjunction with other treatments, such as surgery or chemotherapy, to maximize the chances of successful treatment.
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- Neoadjuvant therapy: In some cases, radiation therapy is used before surgery to shrink tumors and facilitate their removal.
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The decision to undergo radiation therapy is made by medical professionals, taking into account the individual's specific diagnosis, stage of cancer, overall health, and treatment goals.

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Radiation therapy is a treatment that uses high-energy radiation to target and kill cancer cells.
Radiation therapy is typically prescribed by a radiation oncologist and administered by a radiation therapist.
Radiation therapy is delivered through various techniques including external beam radiation therapy, brachytherapy, and proton therapy.
The purpose of radiation therapy is to destroy cancer cells while minimizing damage to surrounding healthy tissue.
Information that must be reported includes the type and location of the cancer, the prescribed radiation dose, and any side effects experienced during treatment.
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