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You may print a copy of our work authorization form by clicking
below to bring up a full size version. You may use this form with
our mailing label to forward a case to us now or telephone customer
service at 1-800-367-3322 to request additional forms and shipping
supplies. Email: pepper@biogenicdental.com
View the pdf version of
the authorization form (104k)
(Please note that this version utilizes Adobe
Acrobat. If you do not have Acrobat, you may click the link or graphic
below to download the reader for free.)
Download
Adobe Acrobat Reader
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