Q2 2018 MEDICAL PROMOTION REDEMPTION FORM

  • INSTRUCTIONS:

    • Fill in ALL fields.
    • ALL information must be completed in order to receive promotional item per “Sunshine Act” requirement.
    • Scan your invoice, save as a jpeg image, and submit it using the option in the form below.
    • This form must be submitted no later than July 31, 2018.

    US promotion only.

  • Accepted file types: jpg, jpeg.
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