Image Fixup Form

Use this form for any errors / changes or other slips that are made and need to be corrected.

Details required:
Accession Number - Old / New
Name - Old / New
NHI - Old / New
DOB - Old / New
If mixed studies have come through - please provide both sets of details, along with how many images are meant to be attached to each case, and full details as above for both sets of images.