Get Ct Scanner Confirmation And Charge Form

Filling out the CT Scanner Confirmation And Charge Form online is a straightforward process that ensures all necessary information is captured efficiently. By following the steps outlined in this guide, users can complete the form accurately and ensure a smooth workflow for their CT scan process.

Follow the steps to successfully fill out the form

1. Click ‘Get Form’ button to obtain the form and access it in your editing tool.
2. Complete the section labeled 'To Be Completed by PI Applicant.' Here, provide the project name, your title as Principal Investigator, and contact details including phone numbers and email addresses.
3. Fill in your department and coordinator's name, along with the IRB or ACUC number and its expiration date.
4. Indicate whether the project is funded or unfunded by selecting the appropriate checkbox.
5. In the chartfield section, fill in the necessary account details as specified. Ensure you complete each component labeled with an asterisk (*) since these are required fields.
6. Sign in the designated area to attest that informed consent for research participation is documented.
7. Next, provide details about the participant or specimen, including name or ID, medical record number, accession number, date of birth, study ID number, study acrostic, and the date and time of the scan.
8. Indicate the number of scans that were performed and include any relevant notes in the provided section.
9. For the section labeled 'To Be Completed by CT Research Technologist,' this will typically be filled out by the designated technologist after the scan is completed.
10. Finally, review all entered information for accuracy. Once verified, users can save changes, download a copy, print the completed form, or share it as necessary.

Complete your CT Scanner Confirmation And Charge Form online today to ensure efficient processing of your imaging needs.