Consent Forms

Please feel free to print out and read the consent form for your procedure. You do not have to bring these forms with you to your appointment; we will have copies for you to sign when you arrive.

NOTE: These forms and instructions require free Adobe Acrobat Reader.
Click here to download the latest version.

Each consent form explains the procedure, its risks, and alternatives.

Adrenal Venography and Adrenal Vein Blood Sampling (37KB)
Arteriography and Possible Angioplasty, Stent Placement or Lytic Therapy (36KB)
Biliary Tube Check, Change And Possible Stricture Dilation, Stent Placement Or Stone Removal (37KB)
Chemoembolization of the Liver (50KB)
Creation of a Transjugular Intrahepatic Portosystemic Shunt (TIPS) (55KB)
Diagnostic and/or Therapeutic Paracentesis (34KB)
Dialysis Fistulogram and Possible Angioplasty, Stent Placement or Thrombolytic Therapy (37KB)
Drainage Tube Check, Change and/or Possible Removal (35KB)
Inferior Vena Cava (IVC) Filter Placement (37KB)
Interventional Radiology Procedure (General) (36KB)
Nephrostomy Tube Check, Change and Possible Stricture Dilation, Stent Placement or Stone Removal (37KB)
Percutaneous Biliary Drainage and Possible Stricture Dilation, Stent Placement or Stone Removal (37KB)
Percutaneous Feeding Tube Placement (Gastrostomy, Gastrojejunostomy, Jejunostomy) (35KB)
Percutaneous Feeding Tube Check and/or Change (Gastrostomy, Gastrojejunostomy, Jejunostomy) (35KB)
Percutaneous Fluid Collection/Abscess Drainage (35KB)
Percutaneous Nephrostomy And Possible Stricture Dilation, Stent Placement or Stone Removal (37KB)
Percutaneous Transcisternal Catheterization of the Thoracic Duct for Diagnosis and Embolization (37KB)
Peripherally Inserted Central Catheter (41KB)
Port Removal (32KB)
Pulmonary Arteriogram and Embolization (35KB)
Pulmonary Arteriogram and Possible Lytic Therapy, Thrombectomy or Stent Placement (37KB)
Transjugular Liver Biopsy (36KB)
Uterine Artery Embolization (36KB)
Vascular Embolization (36KB)
Venography and Possible Angioplasty, Stent Placement or Lytic Therapy (37KB)
Venous Access Device Placement (Port, Tunneled or Nontunneled Catheter) (36KB)