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Consent form - tristanscom 2026

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The document is an informed consent form for Y-90 Ibritumomab Tiuxetan (Zevalin) treatment for patients with refractory non-Hodgkin's lymphoma. It outlines the purpose, procedure, alternatives, risks, and post-treatment precautions associated with the treatment. The process involves an initial biodistribution stage to ensure proper drug distribution followed by a therapeutic stage. Potential risks include adverse reactions and serious side effects, as well as necessary follow-up care. Patients must acknowledge understanding of the treatment details before consenting.

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Click ‘Get Form’ to open it in the editor.
Begin by reviewing the purpose of the treatment outlined at the top of the form. This section explains why you are being asked to consent to Y-90 Ibritumomab Tiuxetan (Zevalin) treatment for non-Hodgkin’s lymphoma.
Proceed to the 'Procedure' section, which details the steps involved in your treatment. Ensure you understand each stage, including initial biodistribution and treatment stages.
In the 'Alternatives' section, read through other available options. This will help you make an informed decision about your treatment plan.
Carefully review the 'Risks' section. It is crucial to understand potential side effects and complications associated with Zevalin therapy.
Once you have comprehended all sections, locate the 'Consent' area at the bottom of the form. Here, you will need to provide your signature and date, indicating your agreement to proceed with treatment.

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