Request Dicom scan from Archive - PRISMA scanner

This form should be used to request a Dicom fMRI scan from Siemens scanner archive. Please submit this form for each scan request.

Please fill in all the fields below before submitting the form.

All requested data will be pushed to the MRI download server for you to download directly. If these scans were taken under a week ago they should already be accessable.

Requester Name:

Requester Email (Birmingham University address only)

Requester Telephone No:

Participant Registration ID:

Operator:

Project Code:

Date and Time of Scan

Year / Month / Day Hour : Minute

Further information: