ÐÏࡱá>þÿ LNþÿÿÿKÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á7 ø¿ bjbjQ÷Q÷ 43�Îd3�Îd¥kÿÿÿÿÿÿ·àà%%%%%ÿÿÿÿ9998q�9ˆ!ð©XÜL(,T! ! ! ! ! ! !$x#¶.&R-!%tÜÜtt-!%%ÛB!dddt^%%!dt!ddC � ÿÿÿÿ°pöNã0ÔÿÿÿÿÒF[ ó X!0ˆ!c ,€&è€&� €&%� dl¼(†d®lZlll-!-!dlllˆ!ttttÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ€&lllllllllà ë:  Medical Authorized User - Research Date: Name: Department: Office mail location: Phone: Email address: Applicant:  FORMCHECKBOX  Not an Authorized User – complete attached Training & Experience Form  FORMCHECKBOX  Currently an Authorized User at ³ÉÈË¿ìÊÖ/FMLH – disregard T&E Form Proposed Use: Attach protocol with summary of radiation use. Is the proposed use approved for routine use by the FDA?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If YES, attach Sealed Source & Device Registry information.  FORMCHECKBOX  Attached If NO, does this protocol have an IND#?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If YES, IND#: (protocol must be attached) If NO, attach protocol and IRB application. 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