FiberTech Forms

FiberTech Forms                                                  

The following forms are provided by FiberTech to help insure a smooth and timely service experience.

Repair Request Form:    Please complete this form and include with equipment you are sending for repair.

Loaner Agreement:   This form must be on file with FiberTech prior to requesting a loaner instrument.

Staff In-service Log:    Provided by FiberTech for your use.

Endoscope Inspection Form:   Provided by FiberTech for your use.

FiberTech Forms
• Repair Request Form	• Loaner Agreement	• Staff Inservice Log
• Endoscope Inspection Form

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Repair Management

ENDO-360 is a proactive
approach to reducing the
frequency and severity of
endoscope repairs
Not only will ENDO-360 help you identify
and manage costs more effectively, it also
assures that your critical medical
instrumentation is inspected and calibrated
on a routine basis by technical experts.