Onboarding Form

Onboarding Form

Getting started with ArtFun+
ArtFun+ measures advanced cardiovascular imaging biomarkers enabling a detailed assessment of patients' vascular function and long-term cardiovascular risk.

This form aims to gather basic information for IMAGEENS to evaluate the feasibility of providing ArtFun+ to your institution under our Cardiovascular KOL offer.
You are :*

Medical DoctorIT EngineerInnovation/Legal ManagerResearcherOther
Request a trial :*

YesNo
You are a Medical Doctor: On top of your contact information, we need the contact details of your IT engineer (responsible for installing new IT solutions in your medical center) and your Innovation Manager (responsible for legal questions related to innovation programs).
You are an IT Engineer: On top of your contact information, we would be interested in learning more about the IT requirements of your center, to ensure we can adapt to your needs.
You are an Innovation Manager: On top of your contact information, we would be interested in learning more about your standard contract and legal requirements for innovation programs.
Medical Doctor
Name of Medical Doctor*

First NameLast Name
Email of Medical Doctor*
Phone Number of Medical Doctor

Country codePhone number
IT Engineer
Name of IT Engineer*

First NameLast Name
Email of IT Engineer*
Phone Number of IT Engineer

Country codePhone number
Innovation manager / Legal manager
Name of Innovation Manager*

First NameLast Name
Email of Innovation Manager*
Phone Number of Innovation Manager

Country codePhone number
Please share you template contract for R&D / Innovation projects

Cancelof
Example of contracts IMAGEENS has signed with other medical institutions
Does your clinical center have a Mac OS onsite? :*

YesNo
Does your clinical center have an Osirix or Horos DICOM viewer? :*

YesNo
What is your PACS?
Do you have a shareable document describing your institutions guidelines for installing new softwares?

Cancelof
Researcher / Other
Email*
Your Message
Appointment
Appointment
Should be Empty: