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RADIATION ONCOLOGY DEPARTMENT CONSENT FOR PERMANENT, INTERSTITIAL BRACHYTHERAPY TO THE PROSTATE PATIENT NAME: (Print name) MR#: The undersigned patient acknowledges that he/she has been given sufficient
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Begin by obtaining the consent form for permanent interstitial from the relevant authority or agency.
02
Fill in the personal details section of the form, including your name, address, contact information, and any other requested information.
03
Read the instructions carefully to understand the purpose and requirements of the consent.
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Provide the necessary project details, such as the location of the permanent interstitial, the purpose of the project, and the expected duration.
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If required, gather any additional signatures or approvals from relevant parties, such as property owners or stakeholders.
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Submit the completed consent form to the appropriate authority or agency as instructed.

Who needs consent for permanent interstitial:

01
Individuals or organizations planning to undertake a project involving the construction, installation, or modification of a permanent interstitial structure.
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Property owners or tenants who would be affected by the presence or impact of the permanent interstitial.
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Depending on local regulations and requirements, other stakeholders such as government agencies, environmental organizations, or community groups may also need to provide consent or approval for the permanent interstitial.
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