Thyroid Nodule Documents
Pre-appointment
New Patient Information Sheet
Pertinent information and coordination needed for a NEW patient appointmentNew Patient Information Sheet
Laboratory Requisition
Sample requisition for a thyroid and or neck ultrasound.Laboratory Requisition
Ultrasound Requisition
General endocrine lab slip.Ultrasound Requisition
Ultrasound-Guided FNA Biopsy Requisition
Letter of Medical Necessity for Ultrasonography and FNA Biopsy
Biopsy Coordination of Care Request
Letter to Patient Having Thyroid Biopsy
Detailed thyroid history.Letter to Patient Having Thyroid Biopsy
Appointment
Thyroid Nodule Patient Questionnaire
Detailed thyroid history.Thyroid Nodule Patient Questionnaire
Consent Form for Thyroid Fine Needle Aspiration Biopsy
Physician Note Template | New Thyroid Nodule Patient
Anatomic Levels of the Neck
Mapping for physical exam and ultrasound findings.Anatomic Levels of the Neck