Free COVID-19 Package Application

Application for free NeuroQuant and LesionQuant

For COVID-9 clinicians and researchers
Contact Name *

First Name Last Name
Contact Number *

Area Code Phone Number
How are you involved with the fight against COVID-19: *

Treating Patients Conducting Research
Are you a part of an imaging facility with an MRI machine used for scanning patient heads? *

Yes No, I will be referring to an imaging center or hospital to obtain patient MR images. No, other
Are you a current customer? *

Yes No Not sure
What is your installation type or method for using?

Cloud (web or CTXnode) Local (onsite) Installation Not sure
Facility Name *
E-mail *
Facility Type
Country
State
Message, question, or other information
Should be Empty:

Application for free NeuroQuant and LesionQuant