The Interventional Radiology Procedure Informed Consent is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 1 signer (patient) and, by default, expires 30 days after it is sent if left unsigned. It covers consent, interventional radiology, imaging, biopsy, embolization, ablation. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Interventional Radiology Procedure Informed Consent > **Important — not medical advice.** For use by a licensed provider; tailor risks/benefits/alternatives to the patient and your institution's protocols and state law. **Patient Name:** ___________ **Date of Birth:** ___________ **Medical Record Number:** ___________ **Interventional Radiologist:** ___________ **Scheduled Procedure Date:** ___________ **Procedure(s) to be Performed:** ___________ **Indication(s) / Diagnosis:** ___________ **Imaging Guidance Planned:** ___________ **Planned Sedation Level:** ___________ --- ## 1. Description of the Procedure Interventional radiology (IR) uses image guidance (ultrasound, CT, fluoroscopy, or MRI) to perform minimally invasive procedures that previously required open surgery. A radiologist with specialized training in image-guided techniques performs the procedure through small skin punctures ("keyhole" access), using needles, catheters, wires, and other devices. Common IR procedures include: - **Percutaneous biopsy:** Needle sampling of tissue (solid organ, lymph node, lung, bone, soft tissue mass) for pathologic diagnosis - **Abscess and fluid drainage:** Percutaneous catheter placement to drain infected or symptomatic fluid collections