Get Straumann Guarantee Form

Filling out the Straumann Guarantee Form online is a straightforward process that can ensure proper documentation for your products. This guide provides step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to effectively complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out the customer information section. Provide the clinician’s name, customer account number, address, telephone number, country, and person reporting information.
3. In the product information section, list all involved Straumann products. Include the article number, LOT number, placement date, removal date, and region.
4. Complete the general patient information only if returning implants. Input the patient's age, patient ID number, gender, medical record details, and any allergies.
5. If applicable, fill out the surgical information section. Indicate the method of placement, if another implant was placed during surgery, and any proceedings with device insertion or removal.
6. Address the event information section if returning implants. Note any hygiene conditions, issues leading to the event, and symptoms experienced during implant failure.
7. For prosthesis information, if returning abutments and restorations, include the project number, model, type of restoration, installation and removal dates, and details of the appointment schedule.
8. In the instruments section, if returning instruments, indicate the approximate number of uses, the cleaning and sterilization methods used, and provide a short description of the incident.
9. Review all completed fields for accuracy. Save changes, then download or print the form for your records.
10. If required, share the form as instructed. Ensure all items are securely packaged for return.

Start filling out your documents online today for an efficient and organized process.