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Form Instructions 8801 Virginia Fairfax: What You Should Know

Fairfax Hospital — We are the largest provider of brain imaging in the United States and the fifth busiest trauma center in the U.S. We treat the largest percentage of patients with traumatic brain injuries, concussions, traumatic cerebrovascular injuries, and traumatic spinal injuries. Fairfax County 911 — Fairfax County 911 is a free emergency communication network and 911 emergency dispatch center on the phone service provided by the Fire and Police Mutual Aid System; which can be accessed and answered 24 hours a day, 7 days a week, and by the public using a phone, tablet or other digital device. Virginia Dept. of Health – Informed Consent for MRI Scan — The Virginia Department of Health has approved my clinical studies for the study of magnetic resonance imaging (MRI) in combination with intravenous vitamin C in the primary prevention of cancer. The purpose of this study is to inform future randomized, controlled trials to determine the effect of vitamin C on the rates of breast, prostate and colorectal cancers in women. In this study, each subject who will undergo MRI should have a written informed consent approved by the Research Ethics Board of the Virginia Commonwealth University. The MRI test will be conducted in the MRI Center by a radiologist in the Department of Radiology. No other clinical research, including clinical care, is conducted in the MRI Cat this time due to the high risks of radiation exposure, which is why we ask for the written informed consent from any woman who takes part in the study. The Department of Radiology will notify subjects by mail and in person if more information is needed. Fraud Prevention — In Virginia, if you receive information that you believe is a false statement related to you, contact the Virginia Citizens Complaint Center by submitting a written request to the number below.

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