Get Waterline Test Submission Form - Proedge Dental

This guide provides a clear, step-by-step walkthrough for accurately filling out the Waterline Test Submission Form for ProEdge Dental. Ensuring that all required information is completed will facilitate the processing of your water samples effectively.

Follow the steps to complete the Waterline Test Submission Form effectively.

1. Click ‘Get Form’ button to obtain the Waterline Test Submission Form and open it in your preferred document editor.
2. Indicate whether you are a new or returning customer by selecting the appropriate option.
3. Fill in the practice information section, including the practice name, contact person, practice address, city, state, zip code, contact email (where test results will be sent), phone number, and fax number.
4. Provide the compliance officer's email to receive a copy of the test results.
5. Select all applicable waterline treatment protocols used in your practice, specifying treatment products, shock products, and the details about source water.
6. Enter information about the sampling date. Ensure that you do not sample on Fridays or before a holiday and that you plan to ship samples on the same day they are collected.
7. Complete the test sampling information portion by filling in details for each vial, including the room, chair, or operatory number, and the device or source water being tested for each sample.
8. Review all filled sections to ensure completeness and accuracy, verifying that all test protocols have been noted.
9. Once all information is accurately filled in, save the changes, and you can choose to download, print, or share the completed form as necessary.

Ensure accurate test results by completing the Waterline Test Submission Form online today.