Forms in PDF Format

NOTE: A Form-fillable PDF should be downloaded to your computer before filling out to ensure data is saved to form before sending.


General RT Forms:

RT1 Dosimetry Summary Form (Form-fillable PDF)

RT2 Radiotherapy Total Dose Record (Form-fillable PDF)


Specialized RT Forms:

Brachytherapy Physics Reporting Form 

IORT Physics Reporting Form

Motion Management Form (Form-fillable PDF)

Prostate Brachytherapy Physics Reporting Form 

Proton Reporting Form (Form-fillable PDF)

Radiosurgery RS-1 Dosimetry Summary Form 

TBI Summary Form for Conventional (Form-fillable PDF)

TBI Summary Form for VMAT/Tomotherapy (Form-fillable PDF)

EA2182 Protocol Specific RT-1 Dosimetry Summary Form (Form-fillable PDF)


RT Facility Questionnaire:

Radiation Therapy facilities must go to the IROC Houston website to update or complete a Facility Questionnaire.

SFTP Request Form:

SFTP Account Request Form (Form-fillable PDF)

QARC SUBMIT Request Form:

QARC Account Request Form (Form-fillable PDF)

Adobe Acrobat        
Our documents are available in Adobe Acrobat format. These documents retain all of their formatting, yet are viewable on most operating systems and platforms with free viewers available from Adobe. You can download an Acrobat viewer by selecting this button.   
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