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CMF customized implant order form Case informationPhone Number: 855 4 SK CCI (479 5224) Fax to: 855 256 2860 Email to: CMFCustomizedImplants@stryker.comMust complete box below. Facility name: ___Surgery
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How to fill out customized implant order form222

01
Obtain the customized implant order form222 from the provider or manufacturer.
02
Fill in the required patient information, including name, date of birth, and contact information.
03
Specify the type of implant needed and provide any relevant medical history or details.
04
Indicate the desired size, shape, and material of the implant.
05
Include any additional instructions or preferences for the customization of the implant.
06
Review the completed form for accuracy and completeness before submitting it to the provider or manufacturer.

Who needs customized implant order form222?

01
Patients who require a customized implant for medical or cosmetic purposes.
02
Healthcare professionals who are ordering implants on behalf of their patients.
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Customized implant order form222 is a form used to request customized implants for medical procedures.
Medical professionals and facilities who need customized implants for procedures are required to file the form.
The form must be filled out with all required patient and procedure information, and submitted to the appropriate supplier or manufacturer.
The purpose of the form is to ensure that the correct customized implants are provided for medical procedures.
The form must include patient details, details of the procedure, specifications for the customized implant, and any other relevant information.
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