Request an ACR Phantom Order Form

Please complete the following form. Upon completion, you will receive a PDF copy of our ACR Phantom Order Form via email.

For USA and its territories Only
ALL OTHERS Please Contact Data Spectrum
American College of Radiology (ACR) Nuclear Medicine/PET Accreditation Program

To qualify for any of these phantoms your PETAP or NMAP number is REQUIRED. Once you submit your ACR Nuclear Medicine or PET accreditation applications, go to “My Applications” in the ACR accreditation database to find the corresponding NMAP and PET numbers. If you do not have these numbers, please submit a support ticket at Complete Accreditation Information: Nuclear Medicine and PET.

For any SMALL FIELD OF VIEW DEDICATED CARDIAC SPECT SYSTEMS you will probably need our Small Flangeless Jaszczak SPECT Phantom. Please place and order using our Small SPECT Phantom Order Form (this is camera specific).

Shipping & handling is an additional $30 per unit purchased within the continental United States only