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) |
