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Upstate Medical Physics Data Form for Evaluating Fetal Dose for

Upstate Medical Physics Data Form for Evaluating Fetal Dose for 2025

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The document is a data form used by Upstate Medical Physics to evaluate fetal dose exposure during CT examinations of pregnant patients. It requires detailed patient and examination information, including the patient's size, examination type, equipment details, and specific x-ray techniques. The form must be completed and submitted via fax or email promptly after the imaging procedure.

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