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Reprocessing Intake Form
Please provide us your details by filling out the form below and one of our team members will be in touch to discuss your reprocessing needs
Your information
Full Name
Clinic / Business Name
Email
Phone Number
Address
Other details
Type of practice
Foot care nurse
Chiropodist
Family physician
How do you currently handle reprocessing
?
In-house
Outsourced
Not currently reprocessing
Do you require pickup and delivery
?
Yes
No
Number of instruments per week
Preferred start date
Are you currently IPACÂ compliant?
Yes
No
Unsure
Additional notes or special requirements
Thank you for submitting your details! A member of our team will be in touch with you shortly to discuss.
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