VIRTEX Information Request
If you would like more information about VIRTEX, the SIR Data Registry, please contact us at
virtex@sirweb.org
or fill out the form below. We look forward to speaking with you.
First Name
Last Name
Email
Phone Number
Facility Name
Practice Name
City and State
Preferred method of contact:
Please select...
Email
Phone
How can we assist you?
Schedule a demo of the registry
Ready to begin enrollment process
Request additional information about the registry
Interested in becoming a pilot site
Other
Please specify:
Do you currently use the SIR standardized report templates?
Please select...
Yes
Not currently, but willing to
No
Which system do you use for IR procedure reports (radiology reporting system)?
Please select...
Nuance PowerScribe®
3M™ M*Modal Fluency for Imaging
Philips Vue (formerly Carestream)
StreamlineMD
Other
Please specify:
Which is your EHR system?
Please select...
Epic
Cerner
Allscripts
MEDITECH
StreamlineMD
eClinicalWorks
GE Centricity
Other
Please specify:
Contact Information