KENT STATE UNIVERSITY DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM EDUCATIONAL SCANNING WAIVER
I, , as a student of the Diagnostic Medical Sonography Program at ºÚÁϲ»´òìÈ â€“ Salem Campus give my permission to be scanned for educational purposes. I understand my participation is voluntary, and agree to indemnify and hold ºÚÁϲ»´òìÈ, its trustees, agents, officers, employees and students harmless for any and all direct, indirect, special or consequential damages which I may incur or be held liable for as a result of my participation in this activity, even if caused by their negligence. I have been given the official statements from the American Institute of Ultrasound in Medicine (AIUM) regarding the bioeffects of diagnostic ultrasound. I understand there have been no confirmed biologic effects of diagnostic ultrasound. In the event that a suspected abnormality would be discovered, I will follow up with my personal physician. I agree that this waiver is binding on my heirs and assigns.
Student:
Date:
Program Director:
Date:
* Approved by University Counsel, James Watson
March 28, 2003
Reviewed 2025