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Date
Month
Day
Year

FO 39 Rev 2 Declaration of Contamination Status, 04/30/26

TheraRay and LightDoctor Repair

Wipe off unit with hydrogen peroxide or alcohol prior to shipping.

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­­­­­­­­­­­­­­­­Note: Please send the unit in the original box or a padded box. Please send all items in the original box including the unit, power supply, and remote.

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Email the address below prior to sending. Attach this form to your email!

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Please send to:

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