FES-PET Imaging Directory Survey

SNMMI has created an online FES-PET (Cerianna) Imaging Directory (www.snmmi.org/fes) as a resource for patients and physicians seeking sites that provide this imaging. If your site performs FES-PET imaging for clinical patients and you would like to be included in the directory, please complete all of the fields below. Please note that the contact name and email will not be public, they will be used only by staff for questions/clarifications.

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* 1. Name of Center

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* 2. Facility Street Address

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country

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* 3. Facility Scheduling Phone Number

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* 4. Facility Web Address

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* 5. Contact Name

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* 6. Contact Email Address

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* 7. Please check the box below (required):

I am authorized to add my facility to the SNMMI online FES-PET Imaging Directory.

Please note: If you have additional sites you would like to add to the map, please email the above details to: quality@snmmi.org.