TIME REQUEST FORM FOR MR AND MEG SYTEMS Please enable JavaScript in your browser to complete this form. Please submit a separate form for each project. BEFORE FILLING OUT THIS FORM, PLEASE READ THE COVID RESEARCH RELATED GUIDELINES FOR MGH. Principal Investigator *PI Email address *Site Responsible InvestigatorIf same as PI, enter “PI”Site Investigator EmailImager Project Code *Delete the following users Add the following users Specify the Martinos Center username for each.Current IRB/IACUC protocol number(s), title and protocol PI *Scanner *3T (Bays 1,3,4,8)7T (Bays 2 or 5)4.7T (33cm)9.4T (21cm)14T (8.9 cm vertical)H14TMEGEEGMicroPETHours per week needed *Technologist support needed? *YesNoWill physiological monitors, INVIVO or AD instruments, AVOTECH headphones be used? *YesNoOther Requirements(specific Bay, etc.), account changes (fund number), or other comments.COVID-19 Attestation *I have read and understand MGH’s Covid Research Related Guidelines found hereScheduling Policy Attestation *I have read and understand the Martinos Center Scheduling Policies and Procedures found here.Submit
