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Device Registration
Help us keep your device records up-to-date. This helps ensure that your service . Completing our online form takes just 3 to 5 minutes.
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Device name
e.g. 1x1, low-intensity tDCS stimulator
Your answer
Model number
e.g. Model 1224b
Your answer
Serial number
Located on the back of the device (e.g. 000075)
Your answer
Investigator name
Your answer
Degrees/Qualifications
Your answer
IRB approval number
Your answer
IRB approval start date
Your answer
Invistigators affiliation(s)
Your answer
Institutional address (including mailing address)
Your answer
Locations where the device is used (if different from institutional address)
Your answer
IRB contact information (mailing address)
Your answer
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