Announcements Regarding Impact of COVID-19 Response on HIRO Operations (Updated 4/3/2020):   Read more

HIRO Forms and Templates

This section contains various forms and documents that are related to HIRO services.

These documents can only be accessed from within the University or Medical Center network.
GENERAL FORMSRevision
HIRO Image Request Excel Template3/31/2015
IRB-RELATED FORMSRevision
IRB Consent Form template for MRI 'Test Scans' on human volunteers11/4/2011
IRB Consent Form template for X-ray 'Test Exams' on human volunteers11/4/2011
RESEARCH STUDY FORMSRevision
Research Protocol Registration Form2/18/2016
HIRO Technical Liaison Form6/8/2018
RESEARCH SCAN FORMSRevision
MRI Patient Safety Screening Form
Waiver Form for Volunteer MRI Scans6/13/2014