Onboarding Form

Onboarding Form

Getting started with ArtFun+
ArtFun+ measures advanced cardiovascular imaging biomarkers enabling a detailed assessment of patients' vascular function and long-term cardiovascular risk.

This form aims to gather basic information for IMAGEENS to evaluate the feasibility of providing ArtFun+ to your institution under our Cardiovascular KOL offer.
You are :*

Medical DoctorIT EngineerInnovation/Legal ManagerResearcherOther
Request a trial :*

YesNo
You are a Medical Doctor: Please provide your contact details for us to schedule a first introduction meeting with you.
You are an IT Engineer: Please provide your contact details for us to schedule a first introduction meeting with you.
You are an Innovation Manager: Please provide your contact details for us to schedule a first introduction meeting with you.
Medical Doctor
Name of Medical Doctor*

First NameLast Name
Email of Medical Doctor*
Phone Number of Medical Doctor

Country codePhone number
IT Engineer
Name of IT Engineer*

First NameLast Name
Email of IT Engineer*
Phone Number of IT Engineer

Country codePhone number
Innovation Manager / Legal Manager for innovation programs
Name of Innovation Manager*

First NameLast Name
Email of Innovation Manager*
Phone Number of Innovation Manager

Country codePhone number
Please share you template contract for R&D / Innovation projects

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Example of contracts IMAGEENS has signed with other medical institutions
Does your clinical center have a Mac OS onsite? :*

YesNo
Does your clinical center have an Osirix or Horos DICOM viewer? :*

YesNo
What is your PACS?
Do you have a shareable document describing your institutions guidelines for installing new softwares?

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Researcher / Other
Email*
Your Message
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