Framework for Using Intravenous Contrast in Nuclear Medicine

Consent for storing submitted data *

Yes, I give permission to store and process my data

If paying by card, you are required to pay immediately after completing this form. Please tick here to indicate that you understand. *

If paying by card, you are required to pay immediately after completing this form. Please tick here to indicate that you understand.

First Name *

Last Name *

Job title *

Department *

Organisation *

Work Address 1 *

Work Address 2

Work Address 3

Work Town/City *

Work County/State

Work Postcode *

Country *

Email Address *

Where possible, please supply a work email address

Contact phone *

IPEM Membership number *

If you are not an IPEM Member, please write N/A

This course is aimed at those working as a Clinical Technologist in Nuclear Medicine. The re-requisites for the course are below. Please indicate which one of the following applies:

Tick one: *

Training via the IPEM Diploma in Technology (Nuclear Medicine)

Already registered via an appropriate Professional Standards Authority (PSA) register e.g., the Register of Clinical Technologists (RCT) or Academy of Healthcare Science (AHCS) register

Already working in an appropriate Health and Care Professions Council (HCPC) registered profession e.g., a Radiographer or Clinical Scientist

If registered via an appropriate Professional Standards Authority (PSA) register e.g., the Register of Clinical Technologists (RCT) or Academy of Healthcare Science (AHCS) register, or the Health and Care Professions Council (HCPC), please state registration number below:

Students must hold certification in intravenous cannulation and, as a minimum, have up to date United Kingdom Resuscitation Council (UKRC) Basic Life Support (BLS)

Certification in intravenous cannulation. Please attach your certificate. *

(In PDF or JPG format)

United Kingdom Resuscitation Council (UKRC) Basic Life Support (BLS) training certificate. (UKRC recommends updating annually). Please attach your certificate. *

(In PDF or JPG format)

Access requirements

Please advise us of any access requirements

(For example, captions, enhanced text on printed or electronic documentation etc.)