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Surgeon Registration Form

Register Your Tissue Preferences Below

Register your parameters for each type of procedure. Your online account will be set-up with this information and serve as a reference for your tissue requests. Some cases may require a unique set of specifications which can be included on the individual request. 

  • Surgeon Facility No.1

    Space for additional surgical facilities listed below.
  • Tissue Offer Preferences

  • PKPDSAEK/ UT DSAEKDMEK/ PDEK
  • PKPDSAEK/ UT DSAEKDMEK/ PDEK
  • PKPDSAEK/ UT DSAEKDMEK/ PDEK
  • DSAEK

  • Processing capabilities are ±25 µm of requested target
  • Please choose one or a combination of markings
  • DMEK/PDEK

  • Enter additional facilities below or scroll down to submit registration

  • Surgeon Facility No.2

  • Surgeon Facility No.3

  • Surgeon Facility No.4

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