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COMET User Request Form


Please enter the following information to be added to the COMET database.
First Name:   *
Last Name:   *
Email Address:   *
User ID:   *
Password:   *
Reenter Password:
   *
Country (where
accessing training):		   *
Department:   *

Radiology
Residency
Program:*

  *

Job Status:

   *
Job Training:   *
   

Agree To Terms and Conditions of Use
It is important for you to review and agree to the terms and conditions, privacy policy and general disclaimer before using this Web site.

I have read and accept the disclaimer.

* If your programs and/or location is not listed above, please contact elearning at elearning@ccf.org to be added.
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The project was supported in part by grants from the SPR Research and Education Foundation
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