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Declaration of Pregnancy Form - Environment, Health Safety
The form letter below is provided for your convenience. To make your declaration of pregnancy, simply complete the form. You may also write your own letter.
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MINOR CONSENT TO MEDICAL TREATMENT LAWS
This compilation includes state, District of Columbia, and territory statutes as of January 2013 regarding minor consent laws to medical treatment.
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DECLARATION OF PREGNANCY
Send or take completed form to Radiation Safety 12-122. Page 2. OFFICIAL USE ONLY. Index No. PX-2820.
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