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Date problem occured
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Name
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Email
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Phone
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Person providing information
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Facility Name
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Address
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Hip
Knee
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Suture Anchor
Consumables
Product Description
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Part Number
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Description of the complain
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Please describe the circumstances of the event. What was done to resolve the problem? Please include as many details as possible.
Status of the patient after event
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Advisory on the Collection and Use of Personal Information
We notify and provide guidance on the following matters regarding the collection and use of information pertaining to companies/organizations and individuals in accordance with relevant laws and regulations.
1. Purpose of the collection and use of personal information: Consultation and progress
2. Items collected/used: Name, phone number, email address, contents, etc.
3. Retention and use period: 6 months after completion of consultation, immediate deletion upon request for deletion by the information provider
4. Person in charge of personal information processing: Phone : +82-2-1234-5678 / E-mail : corentec@corentec.com
I agree to the collection and use of personal information.
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