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Huestis Medical — Information Request

Please fill out the following form as accurately and completely as possible to receive more information on Huestis Medical products.



Information Request Form

I'm interested in receiving specific information for:

Radiotherapy Products

Radiotherapy simulators
Shielding block cutters
Beam compensator milling systems
X-ray cassette holders
Breast incline board
Radiotherapy thermoplastic
Calipers
Head & neck immobilization
Foam blocks, alloy, other supplies
Other radiotherapy product
Complete radiotherapy product line


Remanufactured Diagnostic Imaging Systems

Remaufactured GE R/F system
Remanufactured GE AMX portable
Remanufactured GE CT system
Remanufactured OEC C-arm
Remanufactured Liebel-Flarsheim Uro suite
Other remanufactured system
Complete remanufactured diagnostic imaging line


X-ray collimators

Manual collimator
Selectable collimator
Other collimator
Complete X-ray collimator line

(list additional interests in text box provided below)


Contact Details

I would like to be contacted by:

I would also like someone to call me:
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My Personal Information:

First Name

Last Name

Middle Initial

Title

Organization

Work Phone

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I first learned of Huestis Medical from:

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© 2001 Huestis Medical. All rights reserved. Specifications subject to change without notice.
Please contact us at 401.253.5500 (M-F, 8:00 am-5:00 pm, EST, USA) or sales@huestis.com for sales or technical assistance.