Get Cesium-131 Seed Order Form - Isoray

Filling out the CESIUM-131 seed order form is an essential process for healthcare providers to ensure accurate and timely ordering of medical seeds. This guide will provide clear and supportive instructions to help users navigate the online form effectively.

Follow the steps to complete your order form with ease.

1. Press the ‘Get Form’ button to retrieve the order form and open it in your online document editor.
2. In the 'Ship To Information' section, enter the physician's name, purchase order number, facility, attention/department, complete address, city, state, phone number, country, and ZIP code. Ensure all information is accurate for correct delivery.
3. Provide the 'Procedure Information' including the patient's name, gland volume, delivery date to the facility, and implant date. This information is crucial for scheduling and planning the procedure.
4. Identify the person placing the order, along with the order date, and specify the activity level per seed in the field provided. If applicable, fill in the required details for stranded and loose loaded seeds, including the needle type and any special instructions.
5. Include the total seed count and needle count based on your order requirements. Verify these figures to ensure you receive the correct quantity.
6. Review IsoRay's cancellation policy as outlined in the form, and then fill in any relevant special instructions or notes as needed.
7. Once all fields are completed and reviewed, you can save changes, download, print, or share the document for submission.

Complete your order form online to ensure timely processing of your CESIUM-131 seed orders.