Rad Room Valuation or Trade-in Form
Facility / OEM / Owner:
Address:
Phone:
Contact:
Manufacturer:
GE
Picker/Marconi
Siemens
Philips
Toshiba
Hitachi
Shimadzu
Continental
Bennett
Model:
Date of manufacture:
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1987
1986
1985
1984
1983
1982
1981
1980
Generator model:
Mas:
Kvp:
Phase:
Single
Three
High frequency?
Yes
No
Table model:
Table tilt:
90/90
90/45
90/30
90/15
Table movement 1:
Floating
Stationary
Table movement 2:
2 Way
4 Way
Tube model:
Tube position:
Overhead
Floor to Ceiling
Under Table
Has the tube ever been replaced? If so when?
Collimators:
Automatic
Semiautomatic
Manual
Is the system phototimed?
No
Yes
Does the system have tomography?
No
Yes
Digital: (List software level)
Is the system remote?
No
Yes
List any accessories or other components such as wall bucky or wall holder:
Does the system have any operating problems? If so describe:
Cosmetic condition:
Excellent
Good
Fair
Poor
Operational condition:
Excellent
Very good
Good
Poor
Parts unit
Who is servicing the system?
When is the system available for removal?
Do not enter anything in this field:
Currently Looking to Purchase:
GE CT Scanners
Multi-Slice CT
CR Units
Open MRIs
HF Rad Rooms
Now Available:
GE Light Speed 16
GE QX/i 4
GE NX/i Dual
Philips Brilliance 64
GE 1.5 Shortbore Mobile
Siemens Symphony
Clinical Imaging Systems, Inc.
522 Highway 9 North
Suite 321
Manalapan, NJ 07726
Toll Free:
1-866-585-7164
Phone:
1-732-591-9510
F
ax:
1-732-226-3168
email:
info@clinicalimagingsystems.com
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