Stanford University

Dosimetry Request Form

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Last updated: November 14, 2025
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How to Use

Complete this form to request dosimetry for your work with sources of radiation. Consult your lab or department dosimetry manager for assistance in completing the form, or contact the Health Physics Dosimetry Coordinator (redmanha@stanford.edu) for assistance with a new account. Return the form to dianagar@stanford.edu or fax it to Health Physics at (650) 723-0632.

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