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Research Imaging Registration-old

Important, please read below before proceeding:

Please make sure your popup blocker is disabled for this site or include this site in the site exceptions listed in the popup blocker settings in your browser. If you do not receive a successful form submission message on your screen (a large green checkmark) after submitting please click submit again or contact your IT personnel.

The study registration form should be submitted upon learning of imaging involvement within the study and  AT LEAST one month before scheduling can begin for most studies.

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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If you do not receive a successful form submission message on your screen (a large green checkmark) after submitting please click submit again or contact your IT personnel.

You will receive a study ID number within 72 hours after registration  and detailed instructions on how to proceed. We must have your study regulatory approval information and account number(s) on file before imaging may begin.

Thank you!

Indiana Institute for Biomedical Imaging Sciences (IIBIS) | Department of Radiology | 950 West Walnut Street, E124 | Indianapolis, IN 46202 | PHONE: (317) 963-1692 | FAX: (317) 274-8124