To request phantoms, please complete following steps and click the "Submit" button. It is recommended to prepare the Agreement Form in Step 3 in advance.

STEP 1 Enter Requestor's Information

*The requestor must be identical to the person who signed the Agreement Form in Step 3.

Title^*
---Mr.Ms.Prof.Ph.D.M.S.
Name^*


Email^*


Affiliation^*


Country^*
---AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustriaAzerbaijanBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChannel IslandsChileChinaColombiaComorosCongoCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicDR CongoEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFaeroe IslandsFinlandFranceFrench GuianaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJordanKazakhstanKenyaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPanamaParaguayPeruPhilippinesPolandPortugalQatarRéunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaState of PalestineSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandThe BahamasTimor-LesteTogoTrinidad and TobagoTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVenezuelaVietnamWestern SaharaYemenZambiaZimbabwe

STEP 2 Select Phantom

Phantom list^*
ICRP pediatric MRCPsICRP pregnant MRCPsPercentile-specific phantoms based on ICRP adult MRCPsBody-size-dependent phantom library for adult (*please specify the size (height, weight) of the phantoms which you are requesting.)Posture-dependent computational phantoms based on ICRP adult MRCPsMRKPsTHRK-ManHDRK-Man and HDRK-Woman
Purpose of phantom request ^*

STEP 3 Upload Signed Agreement Form

Please download the Agreement Form and fill out the form including the signature of the requestor. Then, please scan the signed Agreement Form and upload it in PDF format^* (Maximum file size: 5 MB).

STEP 4 Additional Message (Optional)