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Patient Brochures
Patient Information Brochure (PDF)
Pediatric (Child) Patient Guide (PDF)

Patient Forms
HIPPA Receipt Form (PDF)
Insurances (PDF)
HIPPA Notice of Privacy Practices Form (PDF)
Registration Form - Medicare Addendum (PDF)
Registration Form - Standard (PDF)
Registration Form - Workers Compensation (PDF)
Medical Records Release Form (PDF)

Patient Instructions Sheets
Patient Instructions for XLTEK TREX - Non-Video (PDF)
Patient Instructions for XLTEK TREX - Video (PDF)
Patient Self-Disconnecting Instructions (PDF)

MD Information
Clinical Brochure (PDF)
MD Order Sheet (PDF)

Technologist Forms
Equipment Liability Form (PDF)
Clinical History Form (PDF)
Activity Log (PDF)
Push Button Event Log (PDF)

Equipment Information - Should be a button that brings up the information
 XLTEK Ambulatory Specifications (PDF)
XLTEK Trex Amplifier (PDF)

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