Personalize It!

As a service to our customers, we are offering FREE personalized patient instructions.  Simply fill out the form below and AMERX will get to work personalizing your forms and email a pdf of the Patient Instruction sheet(s) for you to keep on file.

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Practice Information

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Physician Name(s) *

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Instruction Sheets Ordered

AMERIGEL® Hydrogel Wound Dressing

Wound Care Instructions

Instructions following Nail Surgery

AMERIGEL® Post-Op Surgical Kit

Wound Care Instructions

Instructions following Nail Surgery - 1 x 3 Bandage

Instructions following Nail Surgery - Flex Tape

Instructions following Nail Surgery - Knuckle Bandage

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Option 1: Podiatric Practice

Option 2: Foot Print Top Border

Option 3: Large Footprints

Option 4: Foot Silhouette

Option 5: Small Footprints

Option 6: Podiatric Doctor

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