CU MRI Facility Usage Application / Protocol Test
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This application is (please select one option only)
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This application is (please select one option only)
MRI usage application (for MRI Committee's review)
Protocol Test
Protocol Test was conducted for this project
Protocol Test was conducted for this project
Yes
No
Please indicate MRI Core Facility reference number (e.g. OUA001)
Please tick if appropriate.
Please tick if appropriate.
No reference number has been assigned
Disclaimer
The personal data collected will be used by the Department of Imaging and Interventional Radiology and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.