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This form is used to request in-vivo molecular imaging services for research projects at Mount Sinai School of Medicine, requiring details about the study, funding, biosafety, and imaging protocols.
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How to fill out in-vivo molecular imaging request

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How to fill out In-Vivo Molecular Imaging Request Form

01
Gather all necessary patient information including demographics and medical history.
02
Specify the type of imaging required (e.g., PET, MRI).
03
Indicate the purpose of the imaging study and any specific protocols to follow.
04
Include details of any previous imaging studies related to the current request.
05
Attach any relevant charts or documentation that support the imaging request.
06
Provide physician's information, including signatures and contact details.
07
Submit the completed form to the appropriate department or imaging facility.

Who needs In-Vivo Molecular Imaging Request Form?

01
Researchers conducting studies that require in-vivo imaging.
02
Clinicians needing to assess patient conditions through molecular imaging.
03
Pharmaceutical companies investigating drug efficacy and safety in trials.
04
Academic institutions involved in medical imaging research.
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The In-Vivo Molecular Imaging Request Form is a document used to formally request the use of molecular imaging technologies for research or clinical purposes involving living subjects.
Researchers, clinicians, or any personnel involved in studies that require molecular imaging of living subjects are required to file the In-Vivo Molecular Imaging Request Form.
To fill out the In-Vivo Molecular Imaging Request Form, provide all necessary information including study title, objectives, imaging modalities required, subject details, and any ethical approvals obtained.
The purpose of the In-Vivo Molecular Imaging Request Form is to ensure that all necessary details about the imaging procedure are captured, to facilitate scheduling, and to ensure compliance with regulatory and ethical standards.
The information that must be reported on the In-Vivo Molecular Imaging Request Form includes study title, principal investigator details, imaging techniques requested, subject demographics, and any relevant safety or ethical considerations.
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