kaiser qc log

TA Name*

First Name

Last Name

Tech Name

First Name

Last Name

Date of Event:

YYYY

QC (mAs/CNR/S-value):

Mobile Unit:

Kaiser Site:

Please be consistent with names provided in "When I Work" app.

Patient Count:

Comments/Issues/Concerns:

alinea Medical Imaging:

2475 N Garey Ave Pomona, CA 91767
Ph: (909) 622-3166 | Fax: (909) 622-8046

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