Radiation Safety Ancillary Review

Forms available to investigators using radioative materials or radiation producing machines used with human subjects.

Ancillary Review Forms

Radiation Safety Workflow of IRB Submissions Utilizing Radiation (DOCX)

Radiation Verification Form for Clinical Research (PDF)
Note: After downloading, form can only be opened and filled out via Adobe Acrobat.

Medically Indicated Imaging Questionaire (DOCX)

State of Wisconsin DHS Appendix M (DOCX)

Non-Discrimination, Anti-Harassment, and Legal Compliance Statement
The Medical College of Wisconsin (MCW) is committed to fostering a diverse community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, military status, or other legally protected classification. MCW maintains full compliance with all applicable federal, state, and local laws and regulations in pursuit of our missions. Consistent with federal guidance, we affirm our commitment to individual merit, fairness, and equal treatment in all aspects of academic and institutional decision-making.

MCW's policies, federal and state laws, and regulations prohibit unlawful discrimination and harassment. Employees, learners, students, applicants, or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.