HIRC Questionnaire / Service Request
Please fill out this form to request HIRC services and/or research imaging. All submissions will be assessed for feasibility. After submitting this form, you will receive a follow-up communication from the HIRC. An MOU signed by the PI and billing index are required for feasibility reviews and budget estimates.
Please note that feasibility is limited at this time due to current clinical demand for radiology services. We apologize for this inconvenience.