Quote request: Ultrasound Quality Assurance Testing Name of Hospital/Clinic/Organisation* Type of organisation:* Please select from the following:HospitalPrivate clinicGP SurgeryOther Other: Departments/ speciality: Details of Ultrasound Systems: Total number of systems for testing*: Are all the systems on one site? Please selectYesNo 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*: Hospital/ OrganisationHome City/Town:* Postcode* Country* I would like to receive the Wessex Diagnostic newsletter of new developments, training courses and services. ---Yes please!No thank you.