VICSD

Forms and procedures

All of the forms, client information handouts, and procedures sheets necessary to refer a case to VICSD and give to pet owners are available for download on this page. To download a form, simply click on the name of the form or information handout. All of these documents are in Adobe PDF format.

Client Information Handouts

Scintigraphy

Bone Scan information for clients

GFR Scintigraphy information for clients

Portal Scintigraphy information for clients

Thyroid Scintigraphy information for clients

Computed Tomography

CT Scan information for clients

Hyperthyroidism and Radioiodine Therapy

An Introduction to Hyperthyroidism and Radioiodine therapy

Ultrasound

Ultrasound Information for clients

Directions to VICSD

Directions to VICSD

Referral Forms for Veterinarians

Imaging Request Forms

Universal Imaging Request Form

Mobile Ultrasound Request Form

Radiograph Referral Form

Misc. Client Information and Consent Forms

Anesthesia Authorization Form

Client Information and Consent Form

Radioiodine Related Forms

Radioiodine owner consent fom

Radioiodine patient information form

Release instructions for owners after radioiodine therapy

Radioiodine referral guidelines and checklist

Radioiodine referral form

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