SwiftMR™ Pre-Installation Survey

To ensure a smooth installation of our SwiftMR solution at your site, please complete the following form with the necessary details. Please complete a separate form for each site (location) to ensure we have the necessary details for an efficient installation process.

Your Information

Please provide your name and contact information.

Your Name

Site Details

Please provide the site name and address.

Address

Point of Contact

Please provide the name and contact information for the POC at the site.

Are you the point of contact (POC) for this installation?

Assigned Static IP Information

Please provide the following requested information. IP must be on network that can communication to scanner, PACS, and to the internet.

PACS Information

Please provide the IP, AE title, and port details for your PACS.

MRI Information

Please provide details for each MRI scanner, including vendor, model, year, serial number, and networking information (IP, AE, and port).

How many scanners will be installed during this demo?

MRI Scanner #1

Please provide details for each MRI scanner, including vendor, model, year, serial number, and networking information (IP, AE, and port).

Protocols

Please provide 5-7 protocols for the demo, such as Brain Routine or Lumbar Spine W/WO.

Installation Scheduling

Our team will follow up via email with available dates. Please note that scheduling is limited to two weeks out or later, based on availability.

Language

KR
Global (EN)
EMEA (EN)
JP