Stanford University

Declaration of Pregnancy

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Last updated: December 6, 2017
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How to Use

The choice to declare your pregnancy is voluntary. If you choose to declare your pregnancy, do so in writing and a lower radiation dose limit will apply to your embryo/fetus. Please complete and fax this form to Health Physics at (650) 723-0632.

If you choose not to declare your pregnancy, you and your embryo/fetus will be exposed to the same radiation dose limits as other occupational workers.

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