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Quote request: Ultrasound Quality Assurance

    Quote request: Ultrasound Quality Assurance Testing


    Name of Hospital/Clinic/Organisation*

    Type of organisation:*

    Other:

    Departments/ speciality:


    Details of Ultrasound Systems:


    Total number of systems for testing*:

    Are all the systems on one site?

    If no, how many sites and what is the distance between them?

    B-scan:

    Number of systems requiring B-scan testing:

    Total number of transducers:

    Doppler:

    B - Number of systems requiring Doppler testing

    Total number of transducers:

    Electrical Safety:

    C - Number of systems requiring Electrical Safety testing

    Please give any additional information; eg: availability:


    Contact details

    Title*

    First Name*

    Last name*

    Job Title*

    Email*

    Telephone* (inc. codes)

    Speciality*

    Name of Hospital/Clinic/Organisation*

    Address*:    

    City/Town:*

    Postcode*

    Country*

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