Medical Imaging information request
Please complete this form to request information about MINDSET imaging services. Thank you.
University or Institutional affiliation
Please leave a phone number or email so we may contact you.
Best time to contact you (if by phone)
Ex: normal business hours; 8-10 am; evenings, etc.
Type of imaging services
Check all that you are interested in
Are you interested in the mobile fMRI scanner?
Yes, I'd like more information about the mobile scanner
No thank you
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