Clinical Dynamics Info/Demo Qualification Form

Qualify to evalulate a SmartSat Pulse Oximetry Analyzer or an AccuPulse NIBP Simulator
in your facility at no cost or obligation.

*AccuPulse Handheld and AccuSim demonstration units are extremely limited due to demand.

  SmartSat  AccuPulse (BenchTop) HandHeld AccuPulse
  SPS option (ECG/Resp/Temp/IBP) AccuSim TPS Contact Name:   Facility:    Address:       City:    State:Zip:      Phone:  Fax:     E-mail: Do you want a demo and/or literature?   Demo     Literature Desired Demo Start Date: 

I prefer to be contacted by:
  Phone  Fax  EMail  Mail


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