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    Computed Tomography Research Forms and Documents:

v      CT Request for Scan Time Application (must be completed first)

v      CT Confirmation and Charge Form

v      CT Contrast Consent Form

    Magnetic Resonance Imaging Core (MRIC) Forms and Documents:

v      MRI Request for Scan Time Application (Funded Study/Pilot Study)

v      MRI Request for Block Time

v      MRI Charge Form

v      MRI Contrast Consent Form

    MicroCT and Toshiba CT (at A1 Building) Forms and Documents:

v      Downtown Imaging Request for Scan Time

    MicroMR 7.0T Forms and Documents:

v      7T Request for Scan Time Application

    Positron Emission Tomography Center (PET) Forms and Documents:

v      PET Request for Scan Time (human)

v      PET Request for Scan Time (animal)

v      PET Request for Pilot Study


    Imaging Informatics Forms and Documents:

v      TeraRecon Servers and Workstations – Request for Research Access


v      To obtain scan rates (for CT, MRI, MicroCT, Toshiba CT, and 7T), please call Sarah Stanfield (716-2555) or
Beverly Gordon (716-3622)

 

v      To obtain scan rates for PET, please call Kim Black (716-5625) or Dr. Pradeep Garg (716-5624).

 

 

Copyright: Wake Forest University School of Medicine and North Carolina Baptist Hospitals. All rights reserved.

Medical Center Boulevard

Winston-Salem, NC 27157

The information on this Website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified healthcare provider. If you have a medical problem or a health-related question, consult your physician or call Health On-Call at 336-716-2255 or 1-800-446-2255.

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Last Modified: 5/21/2008