INITIAL PROTOCOL SUBMISSION

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Biomedical Research Imagine Core (BRIC)

Your request (via completion of this form) must be submitted prior to any grant application deadline(s) and/or any IACUC protocol submission. Longer advanced notice is preferred, especially for MRI, PET, and SPECT. BRIC specific methods and SOP's must be followed. BRIC scientists will assist with the information needed for the imaging part of your protocol. Be aware that some modalities require many weeks to months of advanced notice for scheduling. All imaging procedures will be performed under BRIC supervision, either directly or indirectly.

For further questions, please email us at BRIC@usuhs.edu.

If pilot or specimen, see specific form.

Email *

Today's date (date of form submission) *

YYYY

Principal Investigator Name *

Phone Number *

Email address *

Grant Title *

Protocol Title (if different from Grant Title):

IACUC # (if applicable):

USUHS Grant # (if applicable):

Type of Funding: *

External Funding

Intramural/USU Funding

None

Other:

Required

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