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How to Use or Fill Out the Diagnostic and Interventional Imaging Approval Form
- Click ‘Get Form’ to open it in the editor.
- Begin by entering the 'Study Title' at the top of the form. This should clearly reflect the focus of your research.
- Fill in the 'Principal Investigator' section with your name, followed by your contact information including phone number and email.
- Indicate your department and funding source in the respective fields to provide context for your study.
- Answer whether a DII Radiologist/Faculty is involved by checking 'Yes' or 'No'. If yes, provide their name, role, and effort details.
- List all requested DII Radiologist services for your research, selecting from options like 'Protocol Development' or 'Read/Interpret'.
- Select all imaging procedures relevant to your project from the provided checklist to ensure comprehensive coverage of your study's needs.
- Specify applicable scan/procedure sites for this research study to clarify where imaging will take place.
- Complete any additional comments or target enrollment information as necessary before submitting the form.
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