PET/CT Exam Prep/Instructions

Referral Form

Directions (see below, would be good to be able to print from link as our patient population is older)

PLEASE DO NOT TAKE ANYTHING BY MOUTH, EXCEPT WATER, 8 HOURS PRIOR TO YOUR EXAM.

This includes cough syrup, mints, gum, and cough drops. If you are diabetic and take oral medication, please take your meds as usual. If you’re insulin dependent please make sure to bring the insulin with you.

PLEASE REFRAIN FROM EXERCISE 24 HOURS PRIOR TO YOUR APPOINTMENT.

PLEASE WEAR WARM COMFORTABLE CLOTHES WITHOUT METAL ZIPPERS.

If for any reason you are unable to keep the scheduled appointment, please notify our office immediately, but in no event later than NOON ON THE BUSINESS DAY BEFORE your scheduled appointment.

Each PET/CT study requires that we specially order a dose of a radiopharmaceutical prepared especially for each individual patient.
Each dose can only be used for the patient it is ordered for, and is specifically calibrated for each patients scan time. The dose is costly, and has an extremely short shelf life, and can not be used if you are late or miss your appointment.

In the event we lose the dose due to a late arrival or missed appointment, you will be billed $250 for the blown dose.

Please contact us if you have any questions at 510-204-9400.