contact@raomp.com

TISSUE TRACKING CARD REGISTRATION SYSTEM FOR PHYSICIANS ONLY

SECURE & EASY TO USE

How RAOMP works

KEEP ALL YOUR TISSUE TRACKING CARDS IN ONE PLACE

JOIN RAOMP AND EASILY REGISTER AND MAINTAIN YOUR TISSUE TRACKING CARDS

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Date of implantation or discard:
Reason for discard:
Physician Name:
Specialty:
Facility Name:
Place (Clinic OR Hospital):
City:
County:
Zip/Postal Code:
Office phone number:
Procedure description or CPT#:
Patient Facility Number:
Patient First Name:
Patient Last Name:
Patient DOB:
Patient Zip Code:
Patient Gender: