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Environmental Health and Safety
Radiological SafetyDISCONTINUATION OF FETAL BADGE
(WITHDRAWAL OF PREGNANCY DECLARATION FORM)
The Texas Regulations for Control of Radiation define Declared Pregnant
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How to fill out discontinuation of fetal badge
01
Obtain the discontinuation of fetal badge form from the appropriate department or agency.
02
Fill in your personal information such as name, address, phone number, and email.
03
Provide details about the reason for discontinuation of the fetal badge.
04
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05
Sign and date the form before submitting it to the relevant authority.
Who needs discontinuation of fetal badge?
01
Employees in industries where exposure to radiation or hazardous materials is common.
02
Pregnant women or individuals planning to become pregnant who work in environments with potential risks to fetal health.
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What is discontinuation of fetal badge?
Discontinuation of fetal badge refers to the official process of ending the use or necessary reporting related to a specific fetal monitoring device or identification system.
Who is required to file discontinuation of fetal badge?
Healthcare providers or facilities that utilize fetal monitoring devices are required to file for the discontinuation of the fetal badge.
How to fill out discontinuation of fetal badge?
To fill out the discontinuation of fetal badge, one must complete the specified form, providing required information such as identification details, reason for discontinuation, and the effective date.
What is the purpose of discontinuation of fetal badge?
The purpose of discontinuation of fetal badge is to formally notify relevant authorities about the cessation of using a fetal monitoring system, ensuring compliance with health regulations.
What information must be reported on discontinuation of fetal badge?
The information that must be reported includes the name of the facility, details of the fetal monitoring system, reason for discontinuation, and the date it will take effect.
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