Sample Consent Form Language for Study-Related Radiation Exposure

IMPORTANT NOTE:  The following grid contains risk statements that are based on your subject population and the level of exposure that can be expected during one year of the study.  To view the risk statements, choose the study-appropriate grid link below.

TYPE OF SUBJECT
General Population
Subjects being treated for cancer
Subjects undergoing radiotherapy
Subjects undergoing fluoroscopy
Possible pregnancy
Procedures
Procedures
Procedures
Procedures
Procedures

Very low level of exposure
(<10 mrem during one year of the study)

Low level of exposure
(10-1500 mrem during one year of the study)

High level of exposure
(>1500 mrem during one year of the study)