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GSquared Medical
GSquared Medical, LLC
9005 Overlook Boulevard 
Brentwood, TN  37027
​ 800-520-8893
fax 800-520-1912     
GSquared Medical © 2017. All Rights Reserved
Superior customer service is fundamental at GSquared Medical.  Our staff is available Monday through Friday to answer your questions and ensure your satisfaction.  Feel free to call us or use a form below.  
Contact GSquared Medical
You may also send a no-charge PO to Service@GSquaredMedical.com.
Request for Sample
First Name                                                                          


Last Name


Hospital/Clinic


Department


Email Address


Confirm Email Address


Please tell us where you plan to use the sample(s), i.e., Cath Lab, ER, Interventional Radiology, OR.








Telephone


Your Title


Address 1


Address 2


City, State/Province, Zip/Postal Code



Please select sample(s) desired: 
The above address is (check one):
The information provided above will be used to disseminate information to the appropriate GSquared Medical representative and 
respond to your request.  GSquared Medical will not share or sell your personal information with any other entities.  traxi requests will be referred to Clinical Innovations for fulfillment.  If you do not consent to this use of your personal information, please do not use this form.  

*traxi requests will be
referred to
Clinical Innovations

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traxi*
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