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Precautions after Out-patient Radioactive Iodine (I …

Precautions after Out-patient Radioactive Iodine (I-131) Therapy _____ 8 St. Joseph s Healthcare, Hamilton, 2008 PD 6177 06/2008 dpc/ dt/June 17, 2008 Consent for Out-patient Treatment and Precautions (Care Helper) I have read and understand the above information. These Precautions have been explained to me by the Nuclear Medicine doctor. I recognize that I have the primary responsibility to help the Iodine therapy patient follow the recommendations of the procedure and the Precautions . I consent to follow the above restrictions in order to minimize radiation exposure to myself and members of the public.

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