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Get Allergan Device Tracking

PORTANT: Read and remove these instructions prior to completing the Device Tracking Form. For Device Tracking purposes the physician/health care facility MUST notify Allergan upon implantation, explantation or when a Natrelle Gel-Filled Breast Implant is discarded or destroyed. Failure to comply could result in violation of Federal law. Healthcare facility, please complete the following sections of the form: I. Complete upon Implantation a. Device and Surgery Information For implantation s.

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