This product contains human allograft tissue. In order to maintain allograft records, we request that your facility print and complete this form and return to ARVIX using email ttr@arvixbiologics.com or printout and mail (peelable patient chart labels located on product label) to Arvix Biologics 12717 W. Sunrise Blvd #255 Sunrise, FL 33323
In accordance with JCAHO and FDA requirements, it is the responsibility of the healthcare practitioner to maintain recipient records for the purpose of tracking tissue after implantation. This tissue tracking record is not a replacement or substitute for the physician's or facility's internal tissue tracking systems.