Cardiovascular Imaging Coalition (CVIC) Interest Form

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* 1. Please enter your name.

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* 2. Please provide your email address. The NBE, Inteleos, and the CVIC will use this to send updates as they become available.

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* 3. What imaging specialties do you use in your practice? Select all that apply.

Cardiovascular Computed Tomography (CT)

Nuclear Cardiology (NC)

Cardiovascular Magnetic Resonance Imaging (CMR)

Echocardiography

None of the above

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* 4. Which board certifications do you currently hold?

CBCCT Testamur

CBCCT Diplomate

CBNC Testamur

CBNC Diplomate

CBCMR Testamur

CBCMR Diplomate

NBE Testamur

NBE Diplomate

None of the above

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* 5. Would you like to be considered as a volunteer Subject Matter Expert for the CVIC in one or more areas?

Yes

No

Maybe