Progressive Medical Inc. | Medical Device Training Record Progressive Medical, Inc. | Medical Device Training RecordNameThis field is for validation purposes and should be left unchanged.Product: (the "Product")(Required)Name of PMI Representative providing training :(Required)Our facility was provided the following:Comprehensive in-person training with product demonstration.Hands-on clinician practice opportunities.Provision of IFU and associated educational and training resources.Instructions for Use and Associated Training Resources:Download the Vial2Bag Advanced® 13mm Admixture Device IFUDownload the Vial2Bag Advanced® 20mm Admixture Device IFUWatch the Vial2Bag Advanced® 20mm Admixture Assembly & Use VideoDownload the Vial2Bag Advanced® Wall ChartDate Signed:(Required) Month Day YearFacility Designee eSignature:(Required)By entering my name above, I confirm that our facility staff was provided and completed satisfactory training and education. I further confirm that our facility has made the IFU, and any additional training and educational materials provided by Progressive Medical, Inc. available to staff at our facility.Designee Title:(Required)Designee Email:(Required) PMI Account Number:(Required)Facility Name:(Required)Facility Address:(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
