US Oncology Phantom Request Form |
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INSTRUCTIONS: |
All orders must be sumitted via this online form. Once you have submitted this form, Once you have submitted this form, please email Trang Nguyen (trangnguyen@mdanderson.org) to schedule the phantom. Please note that there are a finite number of phantoms and phantoms are intended to be irradiated over the course of the five year contract period. Prioritization will be based on first-come first-served as well as pressing clinical situations such as implementation of a new modality or a new linac. Trang will work with you to find a date to irradiate the phantom that works for you. Please note you must return the phantom within 2 weeks of receiving it - if you need to reschedule we are happy to accommodate, please just let us know before the phantom is shipped.
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*Required Fields |
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Phantom Requested:*
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Treatment Machine:
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Treatment Planning System: |
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You will be contacted when your phantom is available for shipment, however, please feel free to contact us at (713) 745-8989 if you have any questions or concerns about your order.
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