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By signing this form you are acknowledging that you have been warned of potential risk to an before being scanned. Although you are encouraged to take the offered pregnancy test it is your right to refuse. PREGNANCY TEST RELEASE FORM INFORMED CONSENT CONCERNING POTENTIAL PREGANCY for MRI STUDY STUDY NAME PI This release is to inform you that Magnetic Resonance Imaging MRI may pose a hazard to an unborn child/fetus although there are no reports of injury to children who underwent MR imaging before birth. You may also decide to withdraw from this study if you so choose rather than take the pregnancy test. This release documents that you have been offered a pregnancy test before participating in this study and have chosen to decline. Signature of Person giving consent // Date Printed Name First Middle Last Signature of Witness to Person giving consent 1 of 1 06/06/11. You may also decide to withdraw from this study if you so choose rather than take the pregnancy test. This release documen....

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I am writing to request that I would be allowed to work from home due to my pregnancy. I recently visited my doctor and declared me to have a high-risk one. He also advised me to avoid any travel and strenuous activity. As such, I will be unable to commute or drive to the office for the remainder of my pregnancy.

If a doctor considers a young person to be mature enough to make an informed decision, they are judged to be 'competent to consent' and they can agree to the pregnancy test for themselves. Competent young people can also refuse to have a pregnancy test.

Surgical indications for preoperative pregnancy screening should be based upon risk for fetal harm during, or subsequent to, the surgical procedure. Surgeries involving the uterus and uterine cavity and procedures disrupting uterine blood flow place the fetus at high-risk.

I, (patient) __________________________________ certify that I am not pregnant and have been fully informed of the risks. If the chance of pregnancy is in question, I have been offered the opportunity to take a pregnancy test. I hereby release CORA/CMI of any liability if I am pregnant at the time of this examination.

I, (patient) __________________________________ certify that I am not pregnant and have been fully informed of the risks. If the chance of pregnancy is in question, I have been offered the opportunity to take a pregnancy test. I hereby release CORA/CMI of any liability if I am pregnant at the time of this examination.

A pregnancy waiver form is a legal document used to confirm that a patient is not pregnant before medical treatment. With a free pregnancy waiver form template, you can collect permission from patients to proceed with medical treatment right on your website.

Dear [name of employer], I am writing to notify you that I am pregnant. Please could you assess any health and safety risks that arise during my pregnancy or that may affect my baby and take reasonable action to remove any risks.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232