Before coming to the WSU MRI Core for any reason, it is WSU policy for the person to answer the questions below.
In order to protect the health of our community, WSU requires daily health screening by all individuals who wish to be physically present on campus.
Before coming to campus, you must first answer the questions below.
This form is valid only for today.
It is mandatory to all WSU Core members, WSU students and WSU employees to fill out and submit their WSU Campus Daily Screener form and forward a copy of their email confirmation to the MRC core at mrc3t@wayne.edu
Screening forms are valid only for the day they are requested.
You must complete a new form each day before you come to campus.
WSU Safety Requirements
In accordance with the required elements encompassed in the Michigan Governor’s Executive Order 2020-90 – “Resumption of laboratory research activities” that was released on May 16, 2020
(link) and the Wayne State University Preparedness and Response Plan that is posted on our web page (link), all individuals coming to campus must complete a daily health screen before coming on site. This request and approval form is valid only for this date. Please complete a new form each day before you visit campus. Instrument Repair/Service Workers must complete and submit electronically to your WSU host the completed document outlined below for review and approval by the Office of the Vice President for Research in accordance with university guidelines. This document needs to be completed daily and submitted each day before visiting the campus. At this time, individuals that travel by plane internationally for on-site services are not allowed into facilities barring exceptional circumstances.
Privacy notice:The information you provide when filling out this screener will be shared with certain people.
If you answer “No” to questions 1, 2 and Yes or No to 3, then a message will be sent to the MR Core Technologists, stating that you are cleared to come to the MR Research Facility.
If you answer “Yes” to questions 1, 2, you are not cleared to come to the MR Research Facility. Please contact your health care provider or go to your nearest Urgent Care to get tested for COVID and reschedule your MRI appointment with the study coordinator.