DNS Request Form:
Items with * are required.
First Name:
*
Last Name:
*
Title:
*
Department:
*
If Other, please specify:
--- Select ---
Analytical Psychopharmacology Lab
Audio Visual Services
Behavioral Medicine
Biostatistics and Data Coordination
Brain Stimulation and Therapeutic Modulation
Child and Adolescent Psychiatry
Clinical Phenomenology
Clinical Psychology
Clinical Services
Clinical Therapeutics
Cognitive Neuroscience
Common Space
Comparative Medical Science
Ctr. Psychoanalytic Trng. & Rsch.
CU Dept. of Psychiatry
Developmental Neuroscience
Environmental Health Services
Epidemiology
Epidemiology of Substance Abuse
Facility Management
Geriatric Psychiatry
HIV Center for Clinical and Behavioral Studies
Housekeeping
Howard Hughes Medical Institute
Institute Administration
Institutional Review Board
Integrative Neuroscience
Law, Ethics and Psychiatry
Library
Lieber Center for Schizophrenia Research and Treatment
Mental Health Services Research and Policy
Miscellaneous
Molecular Imaging and Neuropathology
Molecular Therapeutics
MRI Center
Neuroscience (NB&B)
Nursing
Nutrition
NYS Administration
Pet Chemistry and Image Analysis
Pharmacy
Presbyterian Hosp. Liasion Service
Psychiatric and Medical Genetics
Psychiatric Education
Psychiatry Afiliates
psyIT
Public Relations Office
Quality Management
Rec. and Occup. Therapy
Research Foundation
Sackler Center for Developmental Psychobiology
Safety and Security
Social Psychiatry
Social Work
Stroud Center for Aging Studies
Substance Abuse
Translational Imaging
Washington Heights Community Service
Other:
Building:
*
PI New
Kolb
PI Old
Floor:
*
Room:
*
Work Phone:
*
Email Address:
*
Universal Address
MAC Address:
*
Please fill in using this
format on the right.
Also known as the Hardware address
12 Hexadecimal Characters: 0-9, A-F only
MAC - Media Access Control
IP Address:
*
Jack Number:
*
Operation System:
*
Windows
Mac OS 10 or higher
Linux or Unix
Note and special Instructions:
