Forms & Scan Rates

CT

• Research Imaging Application 
• CT Confirmation and Charge Form 
• CT Contrast Consent Form

MRI

• Research Imaging Application 
• MRI Charge Form 
• MRI Contrast Consent Form
• MRI Participant Screening Form

MicroCT and Toshiba CT (at Dean Building)

• Research Imaging Application 
• Downtown Imaging Charge Form

MicroMR 7.0T

• Research Imaging Application 
• MicroMR Charge Form

Positron Emission Tomography Center (PET)

• PET Request for Scan Time (human) 
• PET Request for Scan Time (animal) 
• PET Request for Pilot Study

Imaging Informatics 

• TeraRecon Servers and Workstations – Request for Research Access
• Electronic Scan Transfer Request

 

Scan Rates

• To obtain scan rates for CT, MRI, microCT, Toshiba CT, and microMR (7T), please call Sandra White at 336-716-2555. 
• To obtain scan rates for PET, please call Kim Black at 336-716-5625 or Pradeep Garg, PhD, at 336-716-5624.