Medical Imaging Data Sharing Agreement

This Medical Imaging Data Sharing Agreement ("Agreement") is entered into by and between:

Disclosing Party:

Receiving Party:

Effective Date:

1. Purpose

2. Description of Data

3. Data Use and Restrictions

4. Data Security

5. Confidentiality

6. Term and Termination

7. Miscellaneous

Signatures

Disclosing Party Representative

Receiving Party Representative

Date: