Tendon Return Form

Graft ID(s) to be Returned

Additional Information

Reason for Return

Cancelled Case

Back-up Graft/Allograft

Shipping Delay

Box Condition

Closed Box

Open Box

Return Contact Information:

First Name

Last Name

Return Contact Email

Return Contact Phone Number

Facility

Purchase Order #

I acknowledge and confirm that the grafts that are being returned have not been thawed and have been stored in accordance to FDA and AATB regulations

FORMS