Site InformationParent Company Name:* Institution / Clinic Name:* Address 1:* Address 2: City:* State:* Zip:* Clinical ContactThe Primary Clinical Contact is the principal lead for coordinating decimal3D implementation and training.Name (Primary Contact):* Phone (Primary Contact):* Email (Primary Contact):* Gantry SetupFacing the gantry, rotate the gantry in a clockwise fashion. Fill in the gantry angles at the requested positions as seen in the schematics.Angle (nominal):Angle (90 deg CW from nominal):Angle (180 deg CW from nominal):Angle (270 deg CW from nominal):Collimator SetupLooking at the collimator in a BEV, rotate the collimator in the counter-clockwise fashion. Fill in the collimator angles at the requested positions.Angle (nominal):Angle (90 deg CCW from nominal):Angle (180 deg CCW from nominal):Angle (270 deg CCW from nominal):Couch SetupLooking towards the gantry and with a view from above, note the angles at the nominal position, then at a clockwise couch rotation of 90 degrees, then counter-clockwise 90 degress. Fill in the couch angles at the requested positions as per the following schematics.Angle (nominal):Angle (90 deg CW from nominal):Angle (90 deg CCW from nominal):EmailThis field is for validation purposes and should be left unchanged.
