Research MRI Safety

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MRI Safety Training Request Form

*Please complete the following form. All fields are required.

NOTE: MRI Safety Training is in transition.

Your request will be processed when the new system is implemented.

 
   

 Name of Applicant

 

    Institution

 

    Department

 

    E-mail

 

    Telephone

 
   

 Name of Principal Investigator

 

    Institution

 

    Department

 

     E-mail

 

     Telephone

 
   

Which MRI scanner(s) do you plan to use?

Check all that apply.

MFRC building 3.0T

FMLH pavilion 3.0T

MFRC building 7.0T

MFRC building 9.4T

Other

 

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Page Updated 08/18/2014