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I131 Thyroid Treatment Patient Referral Form Patient name:Patient preferred phone: (___) ___ Patient email: ___Date of birth:Height/weight: ___Referring physician:Referring physician phone/fax: Male
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Consult with your healthcare provider to determine if ara i-131 thyroid treatment is necessary for your condition.
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Obtain the necessary forms for ara i-131 thyroid treatment from your healthcare provider or medical facility.
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Fill out the forms completely and accurately, providing all requested information about your medical history, current medications, and any relevant health conditions.
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Who needs ara i-131 thyroid treatment?

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Individuals diagnosed with thyroid cancer or certain thyroid conditions, such as hyperthyroidism or thyroid nodules, may require ara i-131 thyroid treatment.
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Patients who have not responded well to other forms of thyroid treatment may also be candidates for ara i-131 therapy.
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ARA I-131 thyroid treatment is a type of therapy that uses radioactive iodine to destroy or shrink thyroid cells that are overactive or cancerous.
Patients who are undergoing ARA I-131 thyroid treatment are required to follow the filing instructions provided by their healthcare provider or medical facility.
Patients can fill out ARA I-131 thyroid treatment forms by providing accurate information about their medical history, current condition, and any medications they are taking.
The purpose of ARA I-131 thyroid treatment is to treat conditions such as hyperthyroidism, thyroid cancer, and thyroid nodules by targeting and eliminating abnormal thyroid cells.
Patients must report their medical history, current medications, allergies, and any symptoms they are experiencing related to their thyroid condition.
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