Preliminary Assessment

   In order to help us determine if seed implantation is an appropriate treatment option for you, we ask that you send us the documents listed below by mail or by fax. When your records have been reviewed by an SPI physician, we will call you with the results of our assessment and discuss the desirability of your coming to Seattle for a comprehensive evaluation. There is no charge for this service and we are generally able to get back to patients 3-5 business days after receiving a full set of records.

     If you have any questions about the materials requested here, please don't hesitate to call us for assistance at 206-215-2480.

1. A COMPLETED Int. Prostate Symptom Score Sheet. You can print out this form in either Rich Text Format or Adobe PDF Format.  To open PDF files, you will need Adobe Acrobat Reader which can be downloaded for free. When the download is complete, close the Acrobat window to return to this page.
2. BIOPSY REPORTS (If a consultation visit is scheduled in Seattle, we usually ask you to have your pathology slides sent to us for review.)
3. PSA BLOOD TEST RESULTS (the official laboratory reports)
4. YOUR PHYSICIAN'S NOTES REGARDING YOUR CANCER
5. REPORTS OF ANY X-RAYS AND BONE/CT/MRI SCANS
6. REPORTS OF PROSTATE ULTRASOUND EXAMINATIONS
7. COPY OF YOUR INSURANCE CARDS (both sides)

IMPORTANT: We will be best able to review your records and respond promptly if you can gather these seven items together and mail or fax them at the same time. This way, you can be confident that we have all of your records and will not be kept waiting in the event that one or more items were not forwarded from a hospital or doctor's office.

PLEASE MAIL OR FAX THE ABOVE ITEMS TO:

Seattle Prostate Institute
Attn: Mike
1101 Madison, Suite 1101
Seattle, WA 98104
Fax: 206.215.2481