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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.

­­­­­­­­­­­­­­­­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.

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

Please send to:

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