Surgeon Registration

All fields marked with (*) are required fields.

General

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Billing Address
Shipping Address   Same as Billing Address
[This address will show on your Air Bills/ Guias]

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Phone and Email

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Accountant
Assistant

 

Payment Information

Customs Agent

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 AUTHORIZE ISR TO CHARGE CREDIT CARD AUTOMATICALLY WITHOUT PREAPPROVAL.

Login

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  • User & Passwords are case sensitive.
  • Passwords must be alphanumeric with a minimum of 8 characters.
  • Password reset is required every 90-days to meet industry standards.

Other Information

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What fee can the majority of your patients reimburse for the tissue processing fee, excluding the shipping fee?

 Please type in name, electronic signatures are valid

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 I have read and agreed to all terms of service.