This form is used to request an opinion on radiofrequency ablation of a thyroid nodule. It is not an appointment booking for a procedure: the decision is made after reviewing your file. Current waiting time: 2 to 3 months for an appointment. To learn about the technique, see radiofrequency ablation of thyroid nodules.

Before sending your request, please check that you have:

a fine-needle aspiration of the nodule with a benign result (Bethesda II), except for toxic nodules;
a nodule causing symptoms (difficulty swallowing or breathing, pressure, cosmetic concern) or hyperthyroidism;
a thyroid ultrasound less than one year old;
a letter from your endocrinologist, to attach below.

A benign nodule that causes no symptoms only needs monitoring by your endocrinologist. Requests that do not meet these conditions cannot be accepted.

Ultrasound and fine-needle aspiration reports (up to 2 PDF files or photos, 10 MB each)

Last name (required)

First name (required)

Phone number (required)

Email (required)

Date of birth (required)

Postal address (required)

Patient ID number (IPP) (optional, if known)

Letter from your endocrinologist (one PDF or image, 10 MB max)

Useful information to assess your file

You are (optional)

Has a fine-needle aspiration (FNA) of the nodule been performed? (required)

Does the nodule cause symptoms? (required)

Size of the nodule (largest diameter, on the latest ultrasound) (required)

Latest TSH result (required)

Do you have a thyroid ultrasound less than one year old? (required)

Do you have a letter from an endocrinologist for this request? (required)

Do you take anticoagulant or antiplatelet medication? (optional)

Your message (optional)

Your identity and contact details are needed to process your request and get back to you.

After submitting, you will be taken to a confirmation page in French: this is expected. We will get back to you by email, in English if you prefer.