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Tele Radiology Enquiry
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Facility Name :
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Contact Person's Name :
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E-mail address :
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Phone Number (xxx) xxx-xxxx :
Mobile Number :
Fax Number (xxx) xxx-xxxx :
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How many studies per day on average would
you need to have analysed ?
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What is the modality & software used?
Would you need us to also do reports with
each study?
Is 1-2 day turnaround time post reception of
your study adequate?
Does your facility have internet access?
What is the present image format?
How would you prefer we contact you?
Not Selected
Email
Phone
Fax