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Get Printable Q1 Form 2002-2024

these data for each MR Magnet being evaluated. Photocopy this blank form for additional magnets. Detailed instructions for scanning the MRI phantom are attached. All information on this data sheet must be accurately specified. Please print or type. Please place your Phantom Data Form Label in the space above. Return completed form with phantom images. 1. MR Manufacturer: check one ELS EIscint FON Fonar GE GE 2. Model Name: HI HIT IN Health Images Hitachi Instrumentarium OTS PIC PHI Otsuka P.

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