Get Fda 2579

The Fda 2579 is a crucial document for reporting the assembly of X-ray systems in compliance with regulations. This guide provides a clear and concise walkthrough for completing the form online, ensuring proper documentation and adherence to state requirements.

Follow the steps to complete your Fda 2579 form efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the assembler information. Provide the name of the hospital or doctor’s office where the X-ray system is installed, along with the street address, city, state, zip code, and telephone number for both the assembler and the location of the installation.
3. Indicate the general information relevant to the assembly. Check the appropriate boxes to denote if the assembly is for reassembly, replacement components, or a new assembly, as well as the intended uses such as general purpose radiography or mammography.
4. Specify the type of X-ray system being installed by checking the correct options for stationary or mobile systems and detailing the master control location.
5. Document the component information by indicating whether the master control is a new installation or an existing one, then provide the manufacturer, control serial number, and model details.
6. List the quantity of each X-ray component installed in the system by using the provided options and filling in the appropriate boxes.
7. Complete the assembler signature section by printing your name, signing the form, and noting the date of completion. Ensure that this reflects your affirmation regarding the assembly and testing of the components.
8. Use the comments section for any additional information that may be relevant to the assembly report.
9. Review all entries for accuracy and completeness, then save your changes. You may download, print, or share the form as necessary.

Complete your Fda 2579 form online today to ensure compliance and proper record-keeping.