Clinical Solutions Trial Request Home › Contact › Clinical Solutions Trial Request Name (required) Title: ---Mr.Ms.Dr. E-mail (required) Phone Organization (required) Organization type (required) ---HospitalImaging centerOther Type (if other) Location City / State / Country How did you hear about us? ---Internet SearchReferralJournalsMeeting/Event Trial Request: X-Ray CT IT Setup: Virtual Server Other Other IT Preference: Individual CPU Centralized Server Other Other: PACS System/Workstation: Dose Monitoring System: Backup System: Connection Speed: Primary use: General Pediatric Other Other Priority need: Image Improvement Radiation Dose Reduction Number of Protocols (Routine and Extended): Other comments: Thank you for taking the time to complete this information. We will contact you within three business days.