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Get the free 7T Small Animal MicroMRI Confirmation and Charge Form - wakehealth

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This document is used for confirming and charging for microMRI scans conducted on small animals, requiring specifics from the principal investigator and the MR research technologist.
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How to fill out 7t small animal micromri

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How to fill out 7T Small Animal MicroMRI Confirmation and Charge Form

01
Begin by providing the date at the top of the form.
02
Fill out the requestor's information, including name, contact number, and email address.
03
Specify the details of the animal to be scanned, including species, breed, weight, and age.
04
Indicate the type of imaging required (e.g., specific body part or condition).
05
Include any prior relevant medical history or previous imaging reports.
06
Review the fees section and indicate the required services to get an estimate of charges.
07
Sign and date the form at the bottom, confirming all provided information is accurate.

Who needs 7T Small Animal MicroMRI Confirmation and Charge Form?

01
Researchers using small animals for scientific studies.
02
Veterinarians seeking advanced imaging for animal diagnostics.
03
Facilities conducting preclinical trials requiring detailed imaging.
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The 7T Small Animal MicroMRI Confirmation and Charge Form is a document used to confirm the booking and associated charges for conducting micro magnetic resonance imaging (MRI) on small animals using a 7T MRI scanner.
Researchers, veterinarians, or institutions that plan to utilize the 7T Small Animal MicroMRI facility for imaging small animals are required to file the Confirmation and Charge Form.
To fill out the form, provide details such as the name of the requester, the purpose of the study, date and time of the MRI session, specific imaging requirements, and any special considerations related to the animal subjects.
The purpose of the form is to facilitate scheduling, keep track of usage, and ensure that all necessary administrative and billing information is captured for the use of the facility.
The form must report details including the research project title, names of the individuals involved, institutional affiliation, animal identification information, desired imaging parameters, and confirmation of funding or payment for services.
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