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QSI Quality Mark quotation request form

Please complete this form as fully as possible to obtain a quotation for your service.
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Confirmation of a quote for the provision of services to an organisation is contingent upon a) provision of accurate information regarding the locations at which imaging services are provided, and the modalities offered at each site; and b) confirmation by the Colleges that the geography covered by the service in question, and the sites selected to receive a visit, can be accommodated within the resources the Colleges would expect to allocate under the principles set out here.

Service information
Type of service *

*Micro-organisation: a service where the lead practitioner is an RCR Fellow, or a SoR member and the imaging volume for the previous reporting year is below 1000

Sites and modalities

Please provide details of all the sites within your service